| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,513.56 | $2,884.03 | $4,365.16 | |
Cigna
| Facility | $1,778.28 | $1,778.28 | $1,778.28 | |
Kaiser Permanente
| Professional | $331.13 | $436.52 | $630.96 | |
United
| Facility | $1,621.81 | $1,621.81 | $1,621.81 |