| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,486.00 | $1,941.50 | $3,883.00 | |
Cigna
| Facility | $1,088.40 | $1,088.40 | $1,088.40 | |
Kaiser Permanente
| Professional | $280.26 | $305.74 | $382.17 | |
United
| Facility | $1,689.00 | $1,689.00 | $1,689.00 |