| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,246.52 | $4,905.39 | $7,174.27 | |
Cigna
| Facility | $330.00 | $339.05 | $3,314.62 | |
Kaiser Permanente
| Professional | $661.27 | $853.04 | $1,121.33 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |