| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $557.91 | $3,549.90 | $8,008.76 | |
Cigna
| Facility | $627.00 | $641.21 | $4,274.95 | |
Kaiser Permanente
| Professional | $592.70 | $764.58 | $1,007.28 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |