| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,740.64 | $3,977.82 | $5,200.03 | |
Cigna
| Facility | $507.00 | $518.54 | $1,490.90 | |
Kaiser Permanente
| Professional | $530.27 | $684.05 | $899.07 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |