| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,622.70 | $2,622.70 | $2,622.70 | |
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
Kaiser Permanente
| Professional | $1,007.29 | $1,316.68 | $1,696.50 | |
United
| Facility | $173.00 | $173.00 | $471.00 |