| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.99 | $0.99 | $1,699.53 | |
Cigna
| Facility | $641.21 | $990.00 | $1,835.66 | |
Kaiser Permanente
| Professional | $908.64 | $1,185.96 | $1,752.46 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |