| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,100.00 | $1,100.00 | $1,100.00 | |
Cigna
| Facility | $666.87 | $666.87 | $666.87 | |
Kaiser Permanente
| Professional | $141.85 | $243.98 | $437.80 | |
United
| Facility | $3,106.88 | $3,106.88 | $3,106.88 |