| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,332.28 | $4,332.28 | $4,332.28 | |
Cigna
| Facility | $641.21 | $1,134.73 | $1,335.00 | |
Kaiser Permanente
| Professional | $1,500.86 | $1,956.66 | $2,935.27 | |
United
| Facility | $520.00 | $520.00 | $733.00 |