| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,606.93 | $6,606.93 | $6,606.93 | |
Cigna
| Facility | $630.96 | $630.96 | $645.65 | |
Kaiser Permanente
| Professional | $794.33 | $891.25 | $1,445.44 | |
United
| Facility | $588.84 | $776.25 | $2,238.72 |