| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,862.09 | $5,623.41 | $10,964.78 | |
Cigna
| Facility | $229.09 | $229.09 | $229.09 | |
Kaiser Permanente
| Professional | $114.82 | $162.18 | $660.69 | |
United
| Facility | $676.08 | $1,479.11 | $2,691.53 |