| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.85 | $42.85 | $42.85 | |
Cigna
| Facility | $507.00 | $518.54 | $4,320.71 | |
Kaiser Permanente
| Professional | $759.77 | $980.10 | $1,279.94 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |