| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,578.89 | $5,578.89 | $5,578.89 | |
Cigna
| Facility | $508.00 | $909.33 | $1,530.89 | |
Kaiser Permanente
| Professional | $235.92 | $298.87 | $455.39 | |
United
| Facility | $418.00 | $453.00 | $1,330.00 |