| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $729.77 | $4,483.20 | $6,710.61 | |
Cigna
| Facility | $507.00 | $641.21 | $1,490.90 | |
Kaiser Permanente
| Professional | $1,062.34 | $1,379.22 | $2,009.31 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |