| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,148.15 | $4,677.35 | $8,511.38 | |
Cigna
| Facility | $707.95 | $724.44 | $1,479.11 | |
Kaiser Permanente
| Professional | $776.25 | $870.96 | $1,479.11 | |
United
| Facility | $776.25 | $851.14 | $2,884.03 |