| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $839.87 | $3,608.50 | $3,647.49 | |
Cigna
| Facility | $507.00 | $641.21 | $1,490.90 | |
Kaiser Permanente
| Professional | $1,787.51 | $2,325.42 | $3,702.11 | |
United
| Facility | $643.00 | $1,185.00 | $2,229.00 |