| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,318.26 | $1,318.26 | $1,318.26 | |
Cigna
| Facility | $630.96 | $645.65 | $4,466.84 | |
Kaiser Permanente
| Professional | $645.65 | $724.44 | $1,174.90 | |
United
| Facility | $602.56 | $851.14 | $2,884.03 |