| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $272.70 | $4,140.18 | |
Cigna
| Facility | $1,335.00 | $1,335.00 | $1,335.00 | |
Kaiser Permanente
| Professional | $238.79 | $315.91 | $394.67 | |
United
| Facility | $36.00 | $36.00 | $41.00 |