| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $670.59 | $820.90 | $914.21 | |
Cigna
| Facility | $7,378.73 | $7,378.73 | $7,378.73 | |
Kaiser Permanente
| Professional | $385.03 | $490.31 | $833.75 | |
United
| Professional | $716.39 | $952.30 | $1,507.63 |