| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,618.24 | $4,020.31 | $4,484.45 | |
Cigna
| Facility | $525.00 | $2,754.30 | $3,914.00 | |
Kaiser Permanente
| Professional | $783.33 | $982.41 | $1,422.42 | |
United
| Facility | $717.00 | $964.00 | $2,489.00 |