| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,769.20 | $2,769.20 | $2,769.20 | |
Cigna
| Facility | $395.00 | $1,441.78 | $1,870.84 | |
Kaiser Permanente
| Professional | $358.99 | $484.64 | $717.98 | |
United
| Facility | $418.00 | $453.00 | $1,330.00 |