| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.99 | $917.03 | $2,242.84 | |
Cigna
| Facility | $133.99 | $629.00 | $6,644.00 | |
Kaiser Permanente
| Professional | $112.81 | $144.13 | $200.54 | |
United
| Facility | $71.00 | $100.00 | $598.00 |