| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.15 | $82.06 | $24,698.36 | |
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
Kaiser Permanente
| Professional | $71.86 | $94.93 | $134.46 | |
United
| Facility | $36.00 | $36.00 | $41.00 |