| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.92 | $1.05 | $22.88 | |
Cigna
| Facility | $458.87 | $458.87 | $458.87 | |
Kaiser Permanente
| Professional | $1.21 | $1.41 | $114.92 | |
United
| Facility | $772.00 | $2,360.00 | $4,066.00 |