| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $4,677.35 | $4,677.35 | |
Cigna
| Facility | $3,090.30 | $3,090.30 | $3,090.30 | |
Kaiser Permanente
| Professional | $758.58 | $870.96 | $1,445.44 | |
United
| Facility | $2,884.03 | $2,884.03 | $2,884.03 |