| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,453.90 | $2,453.90 | $2,453.90 | |
Cigna
| Facility | $525.00 | $1,474.16 | $2,213.00 | |
Kaiser Permanente
| Professional | $513.23 | $696.73 | $1,013.42 | |
United
| Facility | $418.00 | $453.00 | $1,330.00 |