| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,324.03 | $2,747.00 | $4,456.00 | |
Cigna
| Facility | $1,244.58 | $1,244.58 | $1,244.58 | |
Kaiser Permanente
| Professional | $357.07 | $389.53 | $454.45 | |
United
| Facility | $2,912.00 | $2,912.00 | $2,912.00 |