| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $53.74 | $584.79 | |
Cigna
| Facility | $507.00 | $518.54 | $1,847.93 | |
Kaiser Permanente
| Professional | $506.46 | $653.33 | $857.44 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |