| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,413.10 | $7,413.10 | $7,413.10 | |
Cigna
| Facility | $707.95 | $707.95 | $724.44 | |
Kaiser Permanente
| Professional | $691.83 | $776.25 | $1,348.96 | |
United
| Facility | $691.83 | $851.14 | $2,884.03 |