| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,173.00 | $2,560.00 | $3,333.00 | |
Cigna
| Facility | $1,104.00 | $1,104.00 | $1,400.00 | |
Kaiser Permanente
| Facility | $2,752.00 | $2,752.00 | $2,752.00 | |
United
| Facility | $612.00 | $875.00 | $1,943.00 |