| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,903.60 | $3,692.62 | $6,003.58 | |
Cigna
| Facility | $627.00 | $641.21 | $1,490.90 | |
Kaiser Permanente
| Professional | $737.24 | $951.04 | $1,262.03 | |
United
| Facility | $215.00 | $215.00 | $471.00 |