| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,791.82 | $2,791.82 | $2,791.82 | |
Cigna
| Facility | $508.00 | $4,057.87 | $5,766.45 | |
Kaiser Permanente
| Professional | $375.42 | $474.22 | $716.89 | |
United
| Facility | $717.00 | $964.00 | $2,489.00 |