| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $926.40 | $3,770.00 | $12,598.93 | |
Cigna
| Facility | $445.00 | $453.73 | $3,314.62 | |
Kaiser Permanente
| Professional | $497.22 | $641.41 | $1,050.06 | |
United
| Facility | $520.00 | $520.00 | $733.00 |