| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $0.98 | $0.99 | |
Cigna
| Facility | $1,675.27 | $1,675.27 | $1,675.27 | |
Kaiser Permanente
| Professional | $796.22 | $1,027.11 | $1,697.57 | |
United
| Facility | $6,295.00 | $6,295.00 | $6,295.00 |