| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $360.61 | $2,213.66 | $4,250.24 | |
Cigna
| Facility | $1,765.51 | $1,765.51 | $1,765.51 | |
Kaiser Permanente
| Professional | $367.76 | $489.12 | $799.41 | |
United
| Facility | $6,359.06 | $6,359.06 | $6,359.06 |