| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,212.42 | $3,405.40 | $7,012.92 | |
Cigna
| Facility | $627.00 | $641.21 | $1,490.90 | |
Kaiser Permanente
| Professional | $894.66 | $1,154.10 | $1,513.73 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |