| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $758.58 | $758.58 | |
Cigna
| Facility | $1,698.24 | $1,698.24 | $1,698.24 | |
Kaiser Permanente
| Professional | $229.09 | $263.03 | $467.74 | |
United
| Facility | $2,238.72 | $2,238.72 | $2,238.72 |