| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.66 | $42.66 | $42.66 | |
Cigna
| Facility | $512.86 | $512.86 | $4,365.16 | |
Kaiser Permanente
| Professional | $691.83 | $776.25 | $1,288.25 | |
United
| Facility | $676.08 | $1,000.00 | $3,548.13 |