| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $5,187.93 | $16,852.68 | |
Cigna
| Facility | $5,162.83 | $5,162.83 | $5,162.83 | |
Kaiser Permanente
| Professional | $861.66 | $1,111.54 | $1,853.79 | |
United
| Facility | $20,822.43 | $20,822.43 | $20,822.43 |