| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $1.00 | $2,691.53 | |
Cigna
| Facility | $512.86 | $512.86 | $645.65 | |
Kaiser Permanente
| Professional | $724.44 | $891.25 | $1,548.82 | |
United
| Facility | $36.31 | $40.74 | $190.55 |