| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,308.42 | $5,308.42 | $5,308.42 | |
Cigna
| Facility | $507.00 | $518.54 | $4,587.24 | |
Kaiser Permanente
| Professional | $630.34 | $813.14 | $1,065.74 | |
United
| Facility | $520.00 | $520.00 | $733.00 |