| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $51.42 | $725.67 | |
Cigna
| Facility | $445.00 | $453.73 | $873.24 | |
Kaiser Permanente
| Professional | $630.83 | $814.08 | $1,062.45 | |
United
| Facility | $520.00 | $520.00 | $733.00 |