| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $634.66 | $3,928.40 | $6,942.97 | |
Cigna
| Facility | $633.12 | $1,474.16 | $2,476.59 | |
Kaiser Permanente
| Professional | $553.52 | $698.64 | $993.71 | |
United
| Facility | $1,028.00 | $1,347.00 | $3,219.00 |