| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,292.56 | $4,292.56 | $4,292.56 | |
Cigna
| Facility | $627.00 | $641.21 | $1,933.79 | |
Kaiser Permanente
| Professional | $761.01 | $981.70 | $1,302.09 | |
United
| Facility | $215.00 | $215.00 | $471.00 |