| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,651.66 | $3,651.66 | $3,651.66 | |
Cigna
| Professional | $3,739.65 | $3,739.65 | $5,642.47 | |
Kaiser Permanente
| Professional | $4,597.57 | $5,015.53 | $5,224.51 | |
United
| Professional | $3,666.33 | $5,499.50 | $5,642.47 |