| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.97 | $0.97 | $0.97 | |
Cigna
| Facility | $507.00 | $518.54 | $1,490.90 | |
Kaiser Permanente
| Professional | $624.54 | $805.66 | $1,054.09 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |