| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,833.43 | $4,833.43 | $4,833.43 | |
Cigna
| Facility | $641.21 | $1,134.73 | $1,335.00 | |
Kaiser Permanente
| Professional | $1,883.77 | $2,458.77 | $3,717.57 | |
United
| Facility | $520.00 | $520.00 | $733.00 |