| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $7,678.00 | $9,462.00 | |
Cigna
| Facility | $13,832.00 | $20,514.00 | $37,262.00 | |
Kaiser Permanente
| Professional | $1,617.87 | $1,617.87 | $1,617.87 | |
United
| Facility | $645.00 | $1,319.00 | $16,382.00 |