| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.61 | $1,380.38 | $1,949.84 | |
Cigna
| Facility | $1,737.80 | $1,737.80 | $1,737.80 | |
Kaiser Permanente
| Professional | $58.88 | $67.61 | $109.65 | |
United
| Facility | $707.95 | $707.95 | $707.95 |