| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,365.16 | $4,365.16 | $4,365.16 | |
Cigna
| Facility | $645.65 | $1,122.02 | $1,348.96 | |
Kaiser Permanente
| Professional | $1,380.38 | $1,548.82 | $2,951.21 | |
United
| Facility | $478.63 | $616.60 | $1,621.81 |