| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,707.11 | $1,707.11 | $1,707.11 | |
Cigna
| Professional | $1,748.25 | $1,748.25 | $2,637.79 | |
Kaiser Permanente
| Professional | $2,149.31 | $2,344.69 | $2,442.40 | |
United
| Professional | $1,713.97 | $2,570.96 | $2,637.79 |