| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,786.30 | $4,786.30 | $4,786.30 | |
Cigna
| Facility | $331.13 | $331.13 | $338.84 | |
Kaiser Permanente
| Professional | $645.65 | $741.31 | $1,148.15 | |
United
| Facility | $194.98 | $436.52 | $707.95 |