| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $637.32 | $7,380.05 | |
Cigna
| Facility | $835.31 | $835.31 | $835.31 | |
Kaiser Permanente
| Professional | $283.32 | $365.48 | $627.69 | |
United
| Facility | $701.00 | $701.00 | $701.00 |