| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,412.09 | $7,412.09 | $7,412.09 | |
Cigna
| Facility | $715.00 | $728.96 | $4,559.50 | |
Kaiser Permanente
| Professional | $768.37 | $991.20 | $1,358.40 | |
United
| Facility | $687.83 | $774.00 | $1,560.00 |