| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,813.33 | $3,833.38 | $5,820.01 | |
Cigna
| Facility | $507.00 | $518.54 | $1,490.90 | |
Kaiser Permanente
| Professional | $652.10 | $841.21 | $1,100.61 | |
United
| Facility | $643.00 | $1,185.00 | $2,229.00 |