| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,344.23 | $2,344.23 | $2,344.23 | |
Cigna
| Facility | $512.86 | $512.86 | $794.33 | |
Kaiser Permanente
| Professional | $630.96 | $724.44 | $1,122.02 | |
United
| Facility | $194.98 | $436.52 | $707.95 |