| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,168.69 | $5,623.41 | $6,025.60 | |
Cigna
| Facility | $512.86 | $512.86 | $794.33 | |
Kaiser Permanente
| Professional | $676.08 | $776.25 | $1,230.27 | |
United
| Facility | $194.98 | $436.52 | $707.95 |