| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.14 | $935.71 | $2,637.80 | |
Cigna
| Facility | $508.00 | $1,966.73 | $2,516.64 | |
Kaiser Permanente
| Professional | $349.56 | $442.22 | $793.84 | |
United
| Facility | $717.00 | $964.00 | $2,489.00 |