| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,202.26 | $3,981.07 | $8,709.64 | |
Cigna
| Facility | $794.33 | $794.33 | $2,137.96 | |
Kaiser Permanente
| Professional | $123.03 | $389.05 | $1,288.25 | |
United
| Facility | $630.96 | $1,479.11 | $2,691.53 |