| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $0.98 | $58.32 | |
Cigna
| Facility | $627.00 | $641.21 | $3,314.62 | |
Kaiser Permanente
| Professional | $948.42 | $1,225.45 | $1,597.34 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |