| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $947.00 | $2,560.00 | $3,333.00 | |
Cigna
| Facility | $984.00 | $984.00 | $1,400.00 | |
Kaiser Permanente
| Facility | $2,752.00 | $2,752.00 | $2,752.00 | |
United
| Facility | $506.00 | $1,178.32 | $2,204.00 |