| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,635.86 | $1,714.52 | $9,979.62 | |
Cigna
| Facility | $508.00 | $1,966.73 | $2,516.64 | |
Kaiser Permanente
| Professional | $324.42 | $410.55 | $619.75 | |
United
| Facility | $717.00 | $964.00 | $2,489.00 |