| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,157.88 | $2,747.00 | $3,883.00 | |
Cigna
| Facility | $1,088.40 | $1,088.40 | $1,088.40 | |
Kaiser Permanente
| Professional | $172.78 | $305.02 | $418.67 | |
United
| Facility | $1,078.00 | $1,078.00 | $1,078.00 |