| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,726.91 | $1,726.91 | $1,726.91 | |
Cigna
| Facility | $376.00 | $514.04 | $891.79 | |
Kaiser Permanente
| Professional | $181.16 | $356.22 | $555.94 | |
United
| Facility | $418.00 | $453.00 | $1,330.00 |