| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,341.20 | $5,341.20 | $5,341.20 | |
Cigna
| Facility | $330.00 | $339.05 | $791.44 | |
Kaiser Permanente
| Professional | $721.57 | $933.62 | $1,215.28 | |
United
| Facility | $36.00 | $36.00 | $41.00 |