| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,693.90 | $2,693.90 | $5,201.47 | |
Cigna
| Facility | $641.21 | $1,134.73 | $1,335.00 | |
Kaiser Permanente
| Professional | $704.14 | $912.35 | $1,387.93 | |
United
| Facility | $520.00 | $520.00 | $733.00 |