| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,940.68 | $9,940.68 | $9,940.68 | |
Cigna
| Facility | $507.00 | $518.54 | $4,753.97 | |
Kaiser Permanente
| Professional | $943.14 | $1,216.65 | $1,607.10 | |
United
| Facility | $520.00 | $520.00 | $733.00 |