| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,317.20 | $4,317.20 | $6,609.42 | |
Cigna
| Facility | $395.00 | $1,770.97 | $2,516.64 | |
Kaiser Permanente
| Professional | $699.40 | $858.10 | $1,239.41 | |
United
| Facility | $717.00 | $964.00 | $2,489.00 |