| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,327.40 | $5,327.40 | $10,059.35 | |
Cigna
| Facility | $507.00 | $518.54 | $1,490.90 | |
Kaiser Permanente
| Professional | $504.11 | $650.29 | $852.80 | |
United
| Facility | $520.00 | $520.00 | $733.00 |