| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,413.10 | $7,413.10 | $7,413.10 | |
Cigna
| Facility | $2,344.23 | $2,344.23 | $2,344.23 | |
Kaiser Permanente
| Professional | $363.08 | $416.87 | $660.69 | |
United
| Facility | $1,621.81 | $1,621.81 | $1,621.81 |