| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.54 | $602.56 | $812.83 | |
Cigna
| Facility | $1,621.81 | $1,621.81 | $1,621.81 | |
Kaiser Permanente
| Professional | $575.44 | $776.25 | $1,122.02 | |
United
| Facility | $1,621.81 | $1,621.81 | $1,621.81 |