| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,640.64 | $2,788.11 | $4,499.81 | |
Cigna
| Facility | $424.00 | $449.41 | $1,205.38 | |
Kaiser Permanente
| Professional | $916.88 | $1,054.41 | $1,375.32 | |
United
| Facility | $1,386.00 | $1,386.00 | $1,386.00 |