| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,630.39 | $2,862.36 | $3,870.45 | |
Cigna
| Facility | $507.00 | $518.54 | $791.44 | |
Kaiser Permanente
| Professional | $352.58 | $454.83 | $601.29 | |
United
| Facility | $520.00 | $520.00 | $733.00 |