| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $651.00 | $3,885.00 | $3,885.00 | |
Cigna
| Facility | $1,987.00 | $2,100.00 | $2,520.00 | |
Kaiser Permanente
| Facility | $2,752.00 | $2,752.00 | $2,752.00 | |
United
| Facility | $506.00 | $1,527.00 | $2,470.00 |