| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $689.58 | $2,141.92 | $4,587.33 | |
Cigna
| Facility | $582.00 | $1,474.16 | $2,476.59 | |
Kaiser Permanente
| Professional | $530.72 | $684.06 | $1,013.42 | |
United
| Facility | $717.00 | $964.00 | $2,489.00 |