| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,857.85 | $4,857.85 | $4,857.85 | |
Cigna
| Facility | $627.00 | $641.21 | $3,314.62 | |
Kaiser Permanente
| Professional | $773.93 | $998.37 | $1,323.54 | |
United
| Facility | $588.00 | $681.51 | $14,287.46 |