| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,486.00 | $3,883.00 | $4,705.00 | |
Cigna
| Facility | $356.30 | $356.30 | $356.30 | |
Kaiser Permanente
| Professional | $221.10 | $899.53 | $1,091.66 | |
United
| Facility | $2,155.00 | $2,155.00 | $2,155.00 |