| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,630.27 | $2,630.27 | $2,630.27 | |
Cigna
| Facility | $630.96 | $645.65 | $794.33 | |
Kaiser Permanente
| Professional | $407.38 | $457.09 | $812.83 | |
United
| Facility | $194.98 | $380.19 | $707.95 |