| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,228.60 | $2,228.60 | $2,228.60 | |
Cigna
| Facility | $507.00 | $518.54 | $1,490.90 | |
Kaiser Permanente
| Professional | $559.99 | $722.39 | $1,182.09 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |