| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.21 | $31.21 | $2,816.26 | |
Cigna
| Facility | $507.00 | $518.54 | $873.24 | |
Kaiser Permanente
| Professional | $483.75 | $624.04 | $816.37 | |
United
| Facility | $520.00 | $520.00 | $733.00 |