| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.68 | $2,754.23 | $4,677.35 | |
Cigna
| Facility | $1,778.28 | $1,778.28 | $1,778.28 | |
Kaiser Permanente
| Professional | $331.13 | $380.19 | $588.84 | |
United
| Facility | $2,238.72 | $2,238.72 | $2,238.72 |