| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $1,970.64 | $3,215.50 | |
Cigna
| Facility | $641.21 | $1,134.73 | $1,335.00 | |
Kaiser Permanente
| Professional | $433.17 | $560.72 | $848.61 | |
United
| Facility | $520.00 | $520.00 | $733.00 |