| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,513.56 | $3,890.45 | $3,890.45 | |
Cigna
| Facility | $1,096.48 | $1,096.48 | $1,096.48 | |
Kaiser Permanente
| Professional | $190.55 | $363.08 | $512.86 | |
United
| Facility | $1,071.52 | $1,071.52 | $1,071.52 |