| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.08 | $758.58 | $1,513.56 | |
Cigna
| Facility | $3,162.28 | $3,162.28 | $3,162.28 | |
Kaiser Permanente
| Professional | $602.56 | $676.08 | $1,230.27 | |
United
| Facility | $3,548.13 | $3,548.13 | $3,548.13 |