| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $0.98 | $0.98 | |
Cigna
| Facility | $1,335.00 | $1,335.00 | $3,314.62 | |
Kaiser Permanente
| Professional | $1,310.66 | $1,724.56 | $2,207.42 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |