| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $0.98 | $1,314.23 | |
Cigna
| Facility | $507.00 | $518.54 | $4,600.10 | |
Kaiser Permanente
| Professional | $704.41 | $909.33 | $1,452.36 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |