| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,518.95 | $12,598.93 | $12,598.93 | |
Cigna
| Facility | $445.00 | $453.73 | $4,190.58 | |
Kaiser Permanente
| Professional | $441.53 | $569.57 | $935.56 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |