| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $1,133.08 | $2,747.62 | |
Cigna
| Facility | $582.00 | $909.33 | $1,530.89 | |
Kaiser Permanente
| Professional | $357.31 | $455.87 | $771.12 | |
United
| Facility | $418.00 | $453.00 | $1,330.00 |