| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.01 | $4,897.79 | $10,471.29 | |
Cigna
| Facility | $13,803.84 | $20,417.38 | $37,153.52 | |
Kaiser Permanente
| Professional | $1,995.26 | $1,995.26 | $2,137.96 | |
United
| Facility | $13,489.63 | $41,686.94 | $91,201.08 |