| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,199.81 | $7,199.81 | $7,199.81 | |
Cigna
| Facility | $715.00 | $728.96 | $1,490.90 | |
Kaiser Permanente
| Professional | $870.48 | $1,122.92 | $1,466.14 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |