| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,130.31 | $2,130.31 | $5,791.26 | |
Cigna
| Facility | $445.00 | $453.73 | $1,134.73 | |
Kaiser Permanente
| Professional | $580.52 | $749.68 | $977.71 | |
United
| Facility | $215.00 | $215.00 | $471.00 |