| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,826.83 | $3,826.83 | $3,826.83 | |
Cigna
| Facility | $507.00 | $518.54 | $2,754.30 | |
Kaiser Permanente
| Professional | $1,114.47 | $1,448.03 | $1,948.85 | |
United
| Facility | $847.00 | $847.00 | $1,560.00 |