| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,164.00 | $1,164.00 | $3,228.00 | |
Cigna
| Facility | $285.00 | $300.00 | $430.00 | |
Kaiser Permanente
| Facility | $499.80 | $540.00 | $635.00 | |
United
| Facility | $325.50 | $350.00 | $1,028.00 |