| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $2,107.17 | $3,530.02 | |
Cigna
| Facility | $445.00 | $453.73 | $1,134.73 | |
Kaiser Permanente
| Professional | $583.41 | $752.60 | $982.72 | |
United
| Facility | $215.00 | $215.00 | $471.00 |