| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $0.98 | $0.98 | |
Cigna
| Facility | $641.21 | $1,335.00 | $14,024.63 | |
Kaiser Permanente
| Professional | $1,215.77 | $1,571.28 | $2,449.73 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |