| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,244.00 | $4,954.00 | $5,480.00 | |
Cigna
| Facility | $750.00 | $1,768.00 | $5,058.00 | |
Kaiser Permanente
| Facility | $2,752.00 | $2,752.00 | $2,752.00 | |
United
| Facility | $612.00 | $1,043.00 | $3,333.00 |