| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,370.57 | $2,370.57 | $2,983.26 | |
Cigna
| Facility | $507.00 | $518.54 | $791.44 | |
Kaiser Permanente
| Professional | $631.28 | $814.35 | $1,086.50 | |
United
| Facility | $215.00 | $215.00 | $471.00 |