| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $2,782.30 | $7,874.54 | |
Cigna
| Facility | $507.00 | $518.54 | $1,490.90 | |
Kaiser Permanente
| Professional | $480.58 | $619.95 | $849.77 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |