| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.00 | $4,025.21 | $9,650.26 | |
Cigna
| Facility | $627.00 | $641.21 | $9,304.56 | |
Kaiser Permanente
| Professional | $761.65 | $982.53 | $1,305.63 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |