| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,207.88 | $2,207.88 | $2,207.88 | |
Cigna
| Facility | $627.00 | $641.21 | $1,490.90 | |
Kaiser Permanente
| Professional | $365.64 | $471.68 | $777.41 | |
United
| Facility | $197.00 | $321.51 | $6,489.22 |