| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,318.26 | $1,318.26 | $1,318.26 | |
Cigna
| Facility | $380.19 | $812.83 | $1,148.15 | |
Kaiser Permanente
| Professional | $489.78 | $891.25 | $1,230.27 | |
United
| Facility | $416.87 | $524.81 | $1,318.26 |