| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,635.55 | $2,747.00 | $5,484.00 | |
Cigna
| Facility | $1,537.42 | $1,537.42 | $1,537.42 | |
Kaiser Permanente
| Professional | $266.60 | $290.83 | $339.30 | |
United
| Facility | $1,981.00 | $1,981.00 | $1,981.00 |