| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $0.98 | $4,713.21 | |
Cigna
| Facility | $445.00 | $453.73 | $1,490.90 | |
Kaiser Permanente
| Professional | $518.35 | $668.67 | $876.32 | |
United
| Facility | $520.00 | $520.00 | $733.00 |