| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,748.98 | $11,748.98 | $11,748.98 | |
Cigna
| Facility | $512.86 | $512.86 | $1,479.11 | |
Kaiser Permanente
| Professional | $501.19 | $549.54 | $933.25 | |
United
| Facility | $467.74 | $645.65 | $2,238.72 |