| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,513.56 | $3,890.45 | $3,890.45 | |
Cigna
| Facility | $1,096.48 | $1,096.48 | $1,096.48 | |
Kaiser Permanente
| Professional | $562.34 | $676.08 | $831.76 | |
United
| Facility | $1,698.24 | $1,698.24 | $1,698.24 |