| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,238.72 | $3,311.31 | $3,311.31 | |
Cigna
| Facility | $512.86 | $512.86 | $512.86 | |
Kaiser Permanente
| Professional | $602.56 | $691.83 | $1,047.13 | |
United
| Facility | $380.19 | $524.81 | $741.31 |