| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,528.00 | $6,084.00 | $7,424.00 | |
Cigna
| Facility | $3,267.63 | $3,267.63 | $3,267.63 | |
Kaiser Permanente
| Professional | $285.77 | $311.76 | $363.72 | |
United
| Facility | $2,155.00 | $2,155.00 | $2,155.00 |