| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,119.63 | $1,119.63 | $10,768.10 | |
Cigna
| Facility | $507.00 | $518.54 | $1,490.90 | |
Kaiser Permanente
| Professional | $607.83 | $784.10 | $1,027.26 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |