| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $5,299.00 | $9,458.33 | |
Cigna
| Facility | $1,244.58 | $1,244.58 | $1,244.58 | |
Kaiser Permanente
| Professional | $456.48 | $615.52 | $727.43 | |
United
| Facility | $1,981.00 | $1,981.00 | $1,981.00 |