| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,158.11 | $2,158.11 | $4,237.38 | |
Cigna
| Facility | $445.00 | $453.73 | $668.69 | |
Kaiser Permanente
| Professional | $377.09 | $486.45 | $801.22 | |
United
| Facility | $215.00 | $215.00 | $471.00 |