| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,968.92 | $4,968.92 | $4,968.92 | |
Cigna
| Facility | $582.00 | $1,966.73 | $3,323.11 | |
Kaiser Permanente
| Professional | $410.66 | $524.10 | $885.24 | |
United
| Facility | $717.00 | $964.00 | $2,489.00 |