| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.86 | $836.23 | $7,061.73 | |
Cigna
| Facility | $507.00 | $518.54 | $4,467.13 | |
Kaiser Permanente
| Professional | $621.78 | $802.10 | $1,063.86 | |
United
| Facility | $520.00 | $520.00 | $733.00 |