| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,955.00 | $8,859.00 | $8,859.00 | |
Cigna
| Facility | $1,750.00 | $1,953.00 | $1,953.00 | |
Kaiser Permanente
| Facility | $1,775.00 | $1,775.00 | $1,775.00 | |
United
| Facility | $506.00 | $850.00 | $2,204.00 |