| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $4,466.84 | $4,466.84 | |
Cigna
| Facility | $1,258.93 | $1,258.93 | $1,258.93 | |
Kaiser Permanente
| Professional | $354.81 | $489.78 | $676.08 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |