| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,497.35 | $3,497.35 | $3,497.35 | |
Cigna
| Facility | $990.00 | $1,012.17 | $1,134.73 | |
Kaiser Permanente
| Professional | $617.85 | $797.03 | $1,058.53 | |
United
| Facility | $520.00 | $520.00 | $733.00 |