| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.99 | $0.99 | $0.99 | |
Cigna
| Facility | $507.00 | $518.54 | $791.44 | |
Kaiser Permanente
| Professional | $772.02 | $995.91 | $1,252.54 | |
United
| Facility | $588.00 | $618.90 | $1,185.00 |