| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.93 | $912.93 | $3,073.28 | |
Cigna
| Facility | $990.00 | $1,012.17 | $1,490.90 | |
Kaiser Permanente
| Professional | $489.42 | $631.35 | $830.21 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |