| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.99 | $335.91 | $896.00 | |
Cigna
| Facility | $376.00 | $516.15 | $867.13 | |
Kaiser Permanente
| Professional | $227.50 | $356.86 | $533.05 | |
United
| Facility | $214.00 | $322.00 | $1,008.00 |