| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,011.87 | $5,011.87 | $5,011.87 | |
Cigna
| Facility | $575.44 | $1,778.28 | $2,041.74 | |
Kaiser Permanente
| Professional | $331.13 | $426.58 | $630.96 | |
United
| Facility | $724.44 | $1,071.52 | $2,511.89 |