| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,894.65 | $2,894.65 | $4,529.25 | |
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
Kaiser Permanente
| Professional | $956.94 | $1,237.54 | $1,611.68 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |