| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,137.96 | $2,137.96 | $4,265.80 | |
Cigna
| Facility | $446.68 | $457.09 | $676.08 | |
Kaiser Permanente
| Professional | $354.81 | $398.11 | $724.44 | |
United
| Facility | $194.98 | $331.13 | $707.95 |