| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.47 | $1,995.26 | $4,897.79 | |
Cigna
| Facility | $512.86 | $812.83 | $1,148.15 | |
Cigna
| Facility | 52 | $309.03 | $309.03 | $309.03 |
Kaiser Permanente
| Professional | $177.83 | $234.42 | $346.74 | |
United
| Facility | $416.87 | $524.81 | $1,318.26 |