| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,056.55 | $3,056.55 | $10,575.90 | |
Cigna
| Facility | $641.21 | $1,134.73 | $1,335.00 | |
Kaiser Permanente
| Professional | $1,299.40 | $1,691.32 | $2,598.67 | |
United
| Facility | $520.00 | $520.00 | $733.00 |