| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,528.60 | $4,528.60 | $15,718.28 | |
Cigna
| Facility | $507.00 | $518.54 | $4,318.42 | |
Kaiser Permanente
| Professional | $719.06 | $927.59 | $1,218.74 | |
United
| Facility | $520.00 | $520.00 | $733.00 |