| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,708.63 | $3,708.63 | $3,708.63 | |
Cigna
| Facility | $507.00 | $518.54 | $1,134.73 | |
Kaiser Permanente
| Professional | $649.38 | $841.69 | $1,093.70 | |
United
| Facility | $197.00 | $471.00 | $5,724.10 |