| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,192.95 | $6,192.95 | $6,192.95 | |
Cigna
| Facility | $445.00 | $453.73 | $1,134.73 | |
Kaiser Permanente
| Professional | $399.81 | $515.75 | $679.82 | |
United
| Facility | $520.00 | $520.00 | $733.00 |