| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,475.78 | $2,475.78 | $2,475.78 | |
Cigna
| Facility | $376.00 | $667.46 | $1,121.33 | |
Kaiser Permanente
| Professional | $321.88 | $474.52 | $684.77 | |
United
| Facility | $418.00 | $453.00 | $1,330.00 |