| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $540.67 | $3,655.90 | |
Cigna
| Facility | $627.00 | $641.21 | $3,314.62 | |
Kaiser Permanente
| Professional | $282.18 | $367.02 | $593.38 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |