| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,322.26 | $6,322.26 | $6,322.26 | |
Cigna
| Facility | $445.00 | $445.00 | $453.73 | |
Kaiser Permanente
| Professional | $104.53 | $136.16 | $189.03 | |
United
| Facility | $36.00 | $36.00 | $41.00 |