| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.99 | $0.99 | $3,101.23 | |
Cigna
| Facility | $507.00 | $518.54 | $1,490.90 | |
Kaiser Permanente
| Professional | $589.20 | $760.07 | $1,008.77 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |