| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $976.36 | $2,759.87 | $4,040.01 | |
Cigna
| Facility | $599.00 | $634.82 | $2,078.94 | |
Kaiser Permanente
| Professional | $851.33 | $979.03 | $1,277.00 | |
United
| Facility | $2,118.00 | $2,118.00 | $2,118.00 |