| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,066.12 | $6,066.12 | $6,066.12 | |
Cigna
| Facility | $627.00 | $641.21 | $1,490.90 | |
Kaiser Permanente
| Professional | $559.59 | $729.92 | $956.86 | |
United
| Facility | $520.00 | $520.00 | $733.00 |