| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $53.02 | $1,507.76 | |
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
Kaiser Permanente
| Professional | $774.57 | $1,024.32 | $1,319.54 | |
United
| Facility | $36.00 | $36.00 | $41.00 |