| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,474.73 | $6,474.73 | $6,474.73 | |
Cigna
| Facility | $641.21 | $1,134.73 | $1,335.00 | |
Kaiser Permanente
| Professional | $1,629.55 | $2,123.46 | $3,200.44 | |
United
| Facility | $520.00 | $520.00 | $733.00 |