| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $314.50 | $3,326.50 | $4,619.92 | |
Cigna
| Facility | $1,698.07 | $1,698.07 | $1,698.07 | |
Kaiser Permanente
| Professional | $270.45 | $359.70 | $572.23 | |
United
| Facility | $1,628.00 | $1,628.00 | $1,628.00 |