| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $492.98 | $601.32 | $11,843.58 | |
Cigna
| Facility | $507.00 | $518.54 | $1,490.90 | |
Kaiser Permanente
| Professional | $534.67 | $689.74 | $937.29 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |