| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $5,563.05 | $26,655.60 | |
Cigna
| Facility | $445.00 | $453.73 | $873.24 | |
Kaiser Permanente
| Professional | $844.86 | $1,096.05 | $1,422.93 | |
United
| Facility | $520.00 | $520.00 | $733.00 |