| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $1,601.25 | $5,916.05 | |
Cigna
| Facility | $330.00 | $339.05 | $1,835.66 | |
Kaiser Permanente
| Professional | $314.55 | $408.25 | $631.69 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |