| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,220.68 | $3,826.83 | $3,826.83 | |
Cigna
| Facility | $627.00 | $641.21 | $791.44 | |
Kaiser Permanente
| Professional | $422.18 | $544.61 | $717.06 | |
United
| Facility | $520.00 | $520.00 | $733.00 |