| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $193.96 | $1,738.47 | $2,903.45 | |
Cigna
| Facility | $244.21 | $290.01 | $483.71 | |
Kaiser Permanente
| Professional | $160.24 | $202.81 | $279.66 | |
United
| Facility | $71.00 | $100.00 | $598.00 |