| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.96 | $1.96 | $1.96 | |
Cigna
| Facility | $445.00 | $453.73 | $1,490.90 | |
Kaiser Permanente
| Professional | $550.48 | $710.12 | $936.96 | |
United
| Facility | $520.00 | $520.00 | $733.00 |