| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $0.98 | $1.00 | |
Cigna
| Facility | $627.00 | $641.21 | $3,314.62 | |
Kaiser Permanente
| Professional | $880.21 | $1,135.58 | $1,482.46 | |
United
| Facility | $847.00 | $847.00 | $1,560.00 |