| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,208.00 | $2,456.00 | $2,456.00 | |
Cigna
| Facility | $475.00 | $500.00 | $633.00 | |
Kaiser Permanente
| Facility | $410.00 | $465.00 | $1,400.00 | |
United
| Facility | $506.00 | $850.00 | $2,204.00 |