| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,768.82 | $4,529.17 | $9,119.41 | |
Cigna
| Facility | $641.21 | $715.00 | $4,498.01 | |
Kaiser Permanente
| Professional | $883.35 | $1,139.52 | $1,694.53 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |