| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,549.56 | $8,549.56 | $8,549.56 | |
Cigna
| Facility | $507.00 | $518.54 | $4,257.79 | |
Kaiser Permanente
| Professional | $679.44 | $876.48 | $1,150.99 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |