| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,330.74 | $1,330.74 | $1,330.74 | |
Cigna
| Facility | $376.00 | $909.33 | $1,530.89 | |
Kaiser Permanente
| Professional | $609.89 | $956.38 | $1,588.17 | |
United
| Facility | $418.00 | $471.00 | $1,330.00 |