| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.99 | $42.71 | $2,099.86 | |
Cigna
| Facility | $507.00 | $518.54 | $1,490.90 | |
Kaiser Permanente
| Professional | $565.60 | $729.62 | $1,107.45 | |
United
| Facility | $520.00 | $520.00 | $733.00 |