| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $4,677.35 | $15,135.61 | |
Cigna
| Facility | $5,128.61 | $5,128.61 | $5,128.61 | |
Kaiser Permanente
| Professional | $776.25 | $891.25 | $1,621.81 | |
United
| Facility | $3,548.13 | $3,548.13 | $3,548.13 |