| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $833.77 | $833.77 | $1,634.58 | |
Cigna
| Facility | $582.00 | $1,966.73 | $3,323.11 | |
Kaiser Permanente
| Professional | $181.58 | $231.20 | $374.03 | |
United
| Facility | $418.00 | $453.00 | $1,330.00 |