| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,187.76 | $3,981.07 | $5,370.32 | |
Cigna
| Facility | $1,698.24 | $1,698.24 | $1,698.24 | |
Kaiser Permanente
| Professional | $213.80 | $245.47 | $436.52 | |
United
| Facility | $1,621.81 | $1,621.81 | $1,621.81 |