| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,288.25 | $3,981.07 | $8,912.51 | |
Cigna
| Facility | $549.54 | $549.54 | $549.54 | |
Kaiser Permanente
| Professional | $281.84 | $398.11 | $2,398.83 | |
United
| Facility | $676.08 | $1,479.11 | $2,691.53 |