| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,324.03 | $2,747.00 | $4,456.00 | |
Cigna
| Facility | $1,244.58 | $1,244.58 | $1,244.58 | |
Kaiser Permanente
| Professional | $393.48 | $517.77 | $658.98 | |
United
| Facility | $1,981.00 | $1,981.00 | $1,981.00 |