| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,084.69 | $2,084.69 | $2,706.07 | |
Cigna
| Facility | $507.00 | $518.54 | $1,134.73 | |
Kaiser Permanente
| Professional | $659.62 | $854.47 | $1,110.94 | |
United
| Facility | $215.00 | $471.00 | $701.00 |