| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.99 | $458.51 | $5,795.12 | |
Cigna
| Facility | $507.00 | $518.54 | $1,490.90 | |
Kaiser Permanente
| Professional | $404.55 | $521.87 | $687.46 | |
United
| Facility | $520.00 | $733.00 | $1,628.00 |