| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,290.94 | $1,290.94 | $3,654.38 | |
Cigna
| Facility | $376.00 | $909.33 | $1,530.89 | |
Kaiser Permanente
| Professional | $586.87 | $1,056.35 | $1,846.34 | |
United
| Facility | $418.00 | $453.00 | $1,330.00 |