| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,208.00 | $2,456.00 | $2,456.00 | |
Cigna
| Facility | $350.00 | $420.00 | $528.00 | |
Kaiser Permanente
| Facility | $390.00 | $410.00 | $485.00 | |
United
| Facility | $506.00 | $850.00 | $2,204.00 |