| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $59.40 | $902.52 | |
Cigna
| Facility | $582.00 | $1,474.16 | $2,476.59 | |
Kaiser Permanente
| Professional | $736.74 | $896.35 | $1,323.03 | |
United
| Facility | $1,028.00 | $1,347.00 | $3,219.00 |