| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $988.00 | $2,898.00 | $3,444.00 | |
Cigna
| Facility | $257.43 | $257.43 | $257.43 | |
Kaiser Permanente
| Professional | $152.71 | $574.04 | $696.65 | |
United
| Facility | $1,078.00 | $1,078.00 | $1,078.00 |