| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,202.47 | $4,392.16 | $6,050.25 | |
Cigna
| Facility | $507.00 | $518.54 | $791.44 | |
Kaiser Permanente
| Professional | $682.40 | $880.30 | $1,174.34 | |
United
| Facility | $215.00 | $215.00 | $471.00 |