| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,926.80 | $1,926.80 | $1,926.80 | |
Cigna
| Facility | $582.00 | $1,474.16 | $2,476.59 | |
Kaiser Permanente
| Professional | $189.23 | $241.04 | $405.93 | |
United
| Facility | $418.00 | $453.00 | $1,330.00 |