| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.99 | $51.71 | $4,343.32 | |
Cigna
| Facility | $582.00 | $909.33 | $1,530.89 | |
Kaiser Permanente
| Professional | $153.04 | $194.56 | $315.17 | |
United
| Facility | $418.00 | $453.00 | $1,330.00 |