| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,324.03 | $2,747.00 | $4,456.00 | |
Cigna
| Facility | $1,244.58 | $1,244.58 | $1,244.58 | |
Kaiser Permanente
| Professional | $242.04 | $264.05 | $330.06 | |
United
| Facility | $1,689.00 | $1,689.00 | $1,689.00 |