| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,020.44 | $4,020.44 | $4,020.44 | |
Cigna
| Facility | $627.00 | $641.21 | $3,314.62 | |
Kaiser Permanente
| Professional | $1,101.33 | $1,420.72 | $1,879.26 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |