| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $812.83 | $2,691.53 | $5,888.44 | |
Cigna
| Facility | $1,258.93 | $1,258.93 | $1,258.93 | |
Kaiser Permanente
| Professional | $676.08 | $776.25 | $1,348.96 | |
United
| Facility | $1,621.81 | $1,621.81 | $1,621.81 |