| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,727.94 | $1,727.94 | $1,727.94 | |
Cigna
| Facility | $1,136.00 | $3,018.07 | $4,939.00 | |
Kaiser Permanente
| Professional | $1,387.07 | $1,704.02 | $2,500.44 | |
United
| Facility | $1,236.00 | $1,679.00 | $3,590.00 |