| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $0.98 | $1.96 | |
Cigna
| Facility | $627.00 | $641.21 | $3,314.62 | |
Kaiser Permanente
| Professional | $798.24 | $1,030.05 | $1,344.40 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |