| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $1.00 | $2,754.23 | |
Cigna
| Facility | $117.49 | $117.49 | $181.97 | |
Kaiser Permanente
| Professional | $95.50 | $107.15 | $158.49 | |
United
| Facility | $75.86 | $107.15 | $173.78 |