| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,454.71 | $2,454.71 | $2,454.71 | |
Cigna
| Facility | $380.19 | $602.56 | $851.14 | |
Kaiser Permanente
| Professional | $281.84 | $489.78 | $691.83 | |
United
| Facility | $416.87 | $524.81 | $1,318.26 |