| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $717.01 | $5,465.36 | |
Cigna
| Facility | $627.00 | $641.21 | $1,490.90 | |
Kaiser Permanente
| Professional | $630.65 | $813.54 | $1,081.41 | |
United
| Facility | $520.00 | $520.00 | $733.00 |