| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,570.88 | $4,570.88 | $4,570.88 | |
Cigna
| Facility | $575.44 | $602.56 | $707.95 | |
Kaiser Permanente
| Professional | $331.13 | $436.52 | $616.60 | |
United
| Facility | $724.44 | $1,071.52 | $2,511.89 |