| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.53 | $54.53 | $5,573.87 | |
Cigna
| Facility | $627.00 | $641.21 | $1,490.90 | |
Kaiser Permanente
| Professional | $680.91 | $878.37 | $1,284.03 | |
United
| Facility | $588.00 | $603.29 | $1,185.00 |