| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $0.98 | $0.98 | |
Cigna
| Facility | $715.00 | $728.96 | $4,365.60 | |
Kaiser Permanente
| Professional | $947.27 | $1,221.98 | $1,601.36 | |
United
| Facility | $847.00 | $847.00 | $1,560.00 |