| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $0.98 | $0.98 | |
Cigna
| Facility | $715.00 | $728.96 | $4,296.97 | |
Kaiser Permanente
| Professional | $832.11 | $1,073.42 | $1,402.88 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |