| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $1.96 | $2,416.61 | |
Cigna
| Facility | $507.00 | $518.54 | $1,490.90 | |
Kaiser Permanente
| Professional | $634.57 | $818.60 | $1,094.34 | |
United
| Facility | $215.00 | $215.00 | $471.00 |