| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,691.53 | $3,890.45 | $7,762.47 | |
Cigna
| Facility | $724.44 | $1,318.26 | $1,862.09 | |
Kaiser Permanente
| Professional | $489.78 | $630.96 | $912.01 | |
United
| Facility | $1,023.29 | $1,445.44 | $3,235.94 |