| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $691.83 | $1,318.26 | $48,977.88 | |
Cigna
| Facility | $3,019.95 | $3,019.95 | $3,019.95 | |
Kaiser Permanente
| Professional | $660.69 | $758.58 | $1,202.26 | |
United
| Facility | $3,548.13 | $3,548.13 | $3,548.13 |