| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,867.21 | $1,867.21 | $1,867.21 | |
Cigna
| Facility | $641.21 | $990.00 | $4,871.09 | |
Kaiser Permanente
| Professional | $914.52 | $1,187.65 | $1,702.66 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |