| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $590.32 | $1,288.27 | $3,586.15 | |
Cigna
| Facility | $525.00 | $1,441.78 | $2,213.00 | |
Kaiser Permanente
| Professional | $513.23 | $649.19 | $915.24 | |
United
| Facility | $717.00 | $964.00 | $2,489.00 |