| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,587.53 | $2,587.53 | $3,042.23 | |
Cigna
| Facility | $445.00 | $453.73 | $1,490.90 | |
Kaiser Permanente
| Professional | $596.29 | $769.21 | $954.78 | |
United
| Facility | $215.00 | $215.00 | $471.00 |