| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $3,162.28 | $3,162.28 | |
Cigna
| Facility | $512.86 | $812.83 | $1,148.15 | |
Kaiser Permanente
| Professional | $147.91 | $194.98 | $295.12 | |
United
| Facility | $416.87 | $524.81 | $1,318.26 |