| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.99 | $3,386.88 | $5,575.63 | |
Cigna
| Facility | $627.00 | $641.21 | $873.24 | |
Kaiser Permanente
| Professional | $737.96 | $951.97 | $1,247.28 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |