| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $109.65 | $3,548.13 | |
Cigna
| Facility | $512.86 | $512.86 | $645.65 | |
Kaiser Permanente
| Professional | $102.33 | $114.82 | $194.98 | |
United
| Facility | $36.31 | $40.74 | $128.82 |