| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $229.09 | $2,630.27 | |
Cigna
| Facility | $512.86 | $512.86 | $645.65 | |
Kaiser Permanente
| Professional | $151.36 | $173.78 | $302.00 | |
United
| Facility | $158.49 | $645.65 | $2,238.72 |