| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.99 | $1,855.47 | $4,291.96 | |
Cigna
| Facility | $641.21 | $668.69 | $1,335.00 | |
Kaiser Permanente
| Professional | $445.60 | $574.82 | $857.32 | |
United
| Facility | $520.00 | $520.00 | $733.00 |