| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,047.13 | $1,047.13 | $1,047.13 | |
Cigna
| Facility | $331.13 | $331.13 | $338.84 | |
Kaiser Permanente
| Professional | $309.03 | $346.74 | $602.56 | |
United
| Facility | $323.59 | $2,187.76 | $4,073.80 |