| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.29 | $870.96 | $5,370.32 | |
Cigna
| Facility | $380.19 | $478.63 | $676.08 | |
Kaiser Permanente
| Professional | $457.09 | $831.76 | $1,148.15 | |
United
| Facility | $416.87 | $524.81 | $1,318.26 |