| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,171.83 | $2,171.83 | $5,618.57 | |
Cigna
| Facility | $330.00 | $339.05 | $1,134.73 | |
Kaiser Permanente
| Professional | $374.99 | $483.74 | $652.41 | |
United
| Facility | $520.00 | $520.00 | $733.00 |