| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,412.32 | $3,412.32 | $3,412.32 | |
Cigna
| Facility | $485.00 | $513.90 | $1,575.38 | |
Kaiser Permanente
| Professional | $1,469.69 | $1,680.78 | $2,204.54 | |
United
| Facility | $1,386.00 | $1,386.00 | $1,386.00 |