| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,323.90 | $3,323.90 | $3,323.90 | |
Cigna
| Facility | $507.00 | $641.21 | $1,490.90 | |
Kaiser Permanente
| Professional | $1,786.00 | $2,323.69 | $3,669.73 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |