| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $4,570.88 | $6,309.57 | |
Cigna
| Facility | $1,698.24 | $1,698.24 | $1,698.24 | |
Kaiser Permanente
| Professional | $169.82 | $194.98 | $338.84 | |
United
| Facility | $1,621.81 | $1,621.81 | $1,621.81 |