| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,057.06 | $2,057.06 | $2,057.06 | |
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
Kaiser Permanente
| Professional | $1,605.36 | $2,093.26 | $2,703.76 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |