| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.99 | $0.99 | $0.99 | |
Cigna
| Facility | $627.00 | $641.21 | $3,314.62 | |
Kaiser Permanente
| Professional | $524.85 | $677.06 | $902.27 | |
United
| Facility | $520.00 | $520.00 | $733.00 |