| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $695.54 | $9,050.28 | |
Cigna
| Facility | $445.00 | $453.73 | $4,415.37 | |
Kaiser Permanente
| Professional | $515.03 | $664.39 | $927.48 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |