| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $815.25 | $1,599.68 | $9,402.90 | |
Cigna
| Facility | $641.21 | $641.21 | $1,335.00 | |
Kaiser Permanente
| Professional | $1,118.08 | $1,448.64 | $2,182.80 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |