| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $870.96 | $870.96 | $4,265.80 | |
Cigna
| Facility | $331.13 | $338.84 | $1,122.02 | |
Kaiser Permanente
| Professional | $426.58 | $478.63 | $741.31 | |
United
| Facility | $389.05 | $524.81 | $1,621.81 |