| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $234.24 | $2,621.51 | |
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
Kaiser Permanente
| Professional | $171.71 | $226.77 | $298.97 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |