| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $54.49 | $3,584.00 | |
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
Kaiser Permanente
| Professional | $114.03 | $151.19 | $196.49 | |
United
| Facility | $36.00 | $36.00 | $41.00 |