| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,698.24 | $1,698.24 | $1,698.24 | |
Cigna
| Facility | $602.56 | $602.56 | $630.96 | |
Kaiser Permanente
| Professional | $97.72 | $114.82 | $218.78 | |
United
| Facility | $89.13 | $89.13 | $128.82 |