| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $793.72 | $968.16 | $7,053.54 | |
Cigna
| Facility | $627.00 | $641.21 | $4,394.78 | |
Kaiser Permanente
| Professional | $843.30 | $1,087.85 | $1,483.70 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |