| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,819.70 | $1,819.70 | $2,089.30 | |
Cigna
| Facility | $446.68 | $457.09 | $1,479.11 | |
Kaiser Permanente
| Professional | $436.52 | $489.78 | $776.25 | |
United
| Facility | $407.38 | $524.81 | $1,621.81 |