| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,822.00 | $4,491.00 | $8,494.00 | |
Cigna
| Facility | $1,450.00 | $1,768.00 | $1,768.00 | |
Kaiser Permanente
| Facility | $590.00 | $1,675.00 | $2,752.00 | |
United
| Facility | $475.00 | $612.00 | $1,943.00 |