| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $964.86 | $5,772.48 | |
Cigna
| Facility | $507.00 | $518.54 | $1,490.90 | |
Kaiser Permanente
| Professional | $575.41 | $742.29 | $1,089.56 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |