| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,101.04 | $4,101.04 | $4,101.04 | |
Cigna
| Facility | $445.00 | $453.73 | $1,316.51 | |
Kaiser Permanente
| Professional | $813.23 | $1,049.07 | $1,388.19 | |
United
| Facility | $520.00 | $520.00 | $733.00 |