| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $831.76 | $831.76 | |
Cigna
| Facility | $2,238.72 | $2,238.72 | $2,238.72 | |
Kaiser Permanente
| Professional | $363.08 | $416.87 | $707.95 | |
United
| Facility | $1,621.81 | $1,621.81 | $1,621.81 |