| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,097.04 | $6,459.06 | $6,723.21 | |
Cigna
| Facility | $627.00 | $641.21 | $1,490.90 | |
Kaiser Permanente
| Professional | $777.42 | $1,002.87 | $1,331.17 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |