| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $0.98 | $0.98 | |
Cigna
| Facility | $627.00 | $641.21 | $13,402.42 | |
Kaiser Permanente
| Professional | $1,294.33 | $1,677.09 | $2,472.80 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |