| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,025.60 | $6,025.60 | $6,025.60 | |
Cigna
| Facility | $630.96 | $645.65 | $1,479.11 | |
Kaiser Permanente
| Professional | $537.03 | $602.56 | $954.99 | |
United
| Facility | $478.63 | $524.81 | $1,621.81 |