| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $864.50 | $2,747.00 | $2,898.00 | |
Cigna
| Facility | $812.63 | $812.63 | $812.63 | |
Kaiser Permanente
| Professional | $151.69 | $165.48 | $193.06 | |
United
| Facility | $1,689.00 | $1,689.00 | $1,689.00 |