| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,949.84 | $4,073.80 | $4,073.80 | |
Cigna
| Facility | $512.86 | $512.86 | $676.08 | |
Kaiser Permanente
| Professional | $512.86 | $575.44 | $933.25 | |
United
| Facility | $194.98 | $436.52 | $707.95 |