| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.11 | $457.09 | $457.09 | |
Cigna
| Facility | $13,803.84 | $13,803.84 | $13,803.84 | |
Kaiser Permanente
| Professional | $346.74 | $389.05 | $724.44 | |
United
| Facility | $3,715.35 | $3,715.35 | $3,715.35 |