| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.99 | $0.99 | $0.99 | |
Cigna
| Facility | $715.00 | $728.96 | $1,490.90 | |
Kaiser Permanente
| Professional | $474.54 | $612.16 | $832.73 | |
United
| Facility | $847.00 | $847.00 | $1,560.00 |