| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,884.03 | $2,884.03 | |
Cigna
| Facility | $812.83 | $812.83 | $812.83 | |
Kaiser Permanente
| Professional | $131.83 | $501.19 | $676.08 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |