| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.86 | $925.46 | $3,671.58 | |
Cigna
| Facility | $376.00 | $1,474.16 | $1,875.56 | |
Kaiser Permanente
| Professional | $302.11 | $384.17 | $540.88 | |
United
| Facility | $418.00 | $471.00 | $1,330.00 |