| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,905.46 | $1,905.46 | $1,905.46 | |
Cigna
| Facility | $602.56 | $630.96 | $1,202.26 | |
Kaiser Permanente
| Professional | $549.54 | $630.96 | $912.01 | |
United
| Facility | $1,000.00 | $1,000.00 | $1,621.81 |