| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,862.09 | $1,862.09 | $1,862.09 | |
Cigna
| Facility | $645.65 | $1,000.00 | $4,897.79 | |
Kaiser Permanente
| Professional | $954.99 | $1,148.15 | $1,698.24 | |
United
| Facility | $416.87 | $1,000.00 | $2,137.96 |