| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $4,897.79 | $4,897.79 | |
Cigna
| Facility | $380.19 | $812.83 | $954.99 | |
Kaiser Permanente
| Professional | $177.83 | $323.59 | $446.68 | |
United
| Facility | $416.87 | $524.81 | $1,318.26 |