| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,868.15 | $12,232.46 | $12,232.46 | |
Cigna
| Facility | $1,335.00 | $1,335.00 | $3,314.62 | |
Kaiser Permanente
| Professional | $1,564.48 | $2,054.56 | $2,634.91 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |