| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,166.92 | $3,166.92 | $3,166.92 | |
Cigna
| Facility | $507.00 | $518.54 | $1,490.90 | |
Kaiser Permanente
| Professional | $420.58 | $545.67 | $795.93 | |
United
| Facility | $520.00 | $520.00 | $733.00 |