| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $933.25 | $954.99 | $4,677.35 | |
Cigna
| Facility | $1,698.24 | $1,698.24 | $1,698.24 | |
Kaiser Permanente
| Professional | $186.21 | $213.80 | $380.19 | |
United
| Facility | $2,238.72 | $2,238.72 | $2,238.72 |