| 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 | $9,565.54 | |
Kaiser Permanente
| Professional | $717.42 | $925.47 | $1,208.70 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |