| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $790.58 | $2,871.79 | |
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
Kaiser Permanente
| Professional | $407.72 | $540.42 | $824.44 | |
United
| Facility | $847.00 | $847.00 | $1,560.00 |