| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,342.19 | $1,342.19 | $1,342.19 | |
Cigna
| Facility | $566.13 | $667.46 | $1,121.33 | |
Kaiser Permanente
| Professional | $1,682.21 | $2,668.17 | $4,907.39 | |
United
| Facility | $418.00 | $453.00 | $1,330.00 |