| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,062.31 | $2,062.31 | $2,062.31 | |
Cigna
| Facility | $1,012.19 | $1,012.19 | $1,012.19 | |
Kaiser Permanente
| Professional | $348.07 | $462.93 | $801.65 | |
United
| Facility | $1,628.00 | $1,628.00 | $1,628.00 |