| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,768.82 | $2,768.82 | $2,768.82 | |
Cigna
| Facility | $627.00 | $641.21 | $1,490.90 | |
Kaiser Permanente
| Professional | $620.54 | $800.51 | $1,049.26 | |
United
| Facility | $643.00 | $1,185.00 | $2,229.00 |