| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,486.00 | $3,883.00 | $4,705.00 | |
Cigna
| Facility | $595.50 | $595.50 | $595.50 | |
Kaiser Permanente
| Professional | $366.65 | $2,146.36 | $2,604.80 | |
United
| Facility | $3,028.00 | $3,028.00 | $3,028.00 |