| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,745.60 | $2,745.60 | $2,745.60 | |
Cigna
| Facility | $507.00 | $518.54 | $3,314.62 | |
Kaiser Permanente
| Professional | $477.80 | $616.36 | $950.88 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |