| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,899.00 | $4,899.00 | $4,899.00 | |
Cigna
| Facility | $627.00 | $641.21 | $4,372.18 | |
Kaiser Permanente
| Professional | $687.52 | $886.90 | $1,160.29 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |