| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.91 | $9,332.54 | $26,915.35 | |
Cigna
| Facility | $446.68 | $457.09 | $870.96 | |
Kaiser Permanente
| Professional | $776.25 | $870.96 | $1,412.54 | |
United
| Facility | $478.63 | $616.60 | $1,621.81 |