| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,119.57 | $6,119.57 | $6,119.57 | |
Cigna
| Facility | $582.00 | $629.00 | $4,371.00 | |
Kaiser Permanente
| Professional | $933.58 | $1,153.00 | $1,638.00 | |
United
| Facility | $1,028.00 | $1,347.00 | $3,219.00 |