| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,595.98 | $3,477.06 | $4,811.53 | |
Cigna
| Facility | $990.00 | $1,012.17 | $1,490.90 | |
Kaiser Permanente
| Professional | $511.85 | $660.29 | $870.80 | |
United
| Facility | $520.00 | $520.00 | $733.00 |