| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $1.00 | $51.29 | |
Cigna
| Facility | $575.44 | $812.83 | $1,148.15 | |
Kaiser Permanente
| Professional | $120.23 | $154.88 | $234.42 | |
United
| Facility | $416.87 | $524.81 | $1,318.26 |