| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,261.66 | $5,261.66 | $5,261.66 | |
Cigna
| Facility | $582.00 | $1,474.16 | $2,476.59 | |
Kaiser Permanente
| Professional | $649.57 | $794.29 | $1,155.33 | |
United
| Facility | $717.00 | $964.00 | $2,489.00 |