| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,887.60 | $4,887.60 | $4,887.60 | |
Cigna
| Facility | $445.00 | $453.73 | $3,314.62 | |
Kaiser Permanente
| Professional | $608.95 | $785.55 | $1,026.14 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |