| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $997.73 | $1,006.72 | $3,454.91 | |
Cigna
| Facility | $599.00 | $634.82 | $1,868.17 | |
Kaiser Permanente
| Professional | $859.03 | $987.88 | $1,372.79 | |
United
| Facility | $2,118.00 | $2,118.00 | $2,882.00 |