| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,311.95 | $4,764.71 | $9,653.44 | |
Cigna
| Facility | $990.00 | $1,012.17 | $2,754.30 | |
Kaiser Permanente
| Professional | $831.17 | $1,072.21 | $1,408.35 | |
United
| Facility | $847.00 | $847.00 | $1,560.00 |