| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $496.51 | $2,549.94 | |
Cigna
| Facility | $330.00 | $339.05 | $791.44 | |
Kaiser Permanente
| Professional | $440.81 | $568.64 | $748.40 | |
United
| Facility | $215.00 | $215.00 | $471.00 |