| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,619.29 | $3,972.74 | $6,596.29 | |
Cigna
| Facility | $627.00 | $641.21 | $1,490.90 | |
Kaiser Permanente
| Professional | $518.30 | $668.62 | $881.60 | |
United
| Facility | $460.57 | $520.00 | $6,489.22 |