| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,182.64 | $9,182.64 | $9,182.64 | |
Cigna
| Facility | $507.00 | $518.54 | $3,314.62 | |
Kaiser Permanente
| Professional | $794.58 | $1,025.01 | $1,338.50 | |
United
| Facility | $847.00 | $847.00 | $1,560.00 |