| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,086.65 | $3,086.65 | $5,669.62 | |
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
Kaiser Permanente
| Professional | $526.78 | $684.29 | $950.07 | |
United
| Facility | $847.00 | $847.00 | $1,560.00 |