| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,649.50 | $4,649.50 | $4,649.50 | |
Cigna
| Facility | $582.00 | $4,182.07 | $6,644.00 | |
Kaiser Permanente
| Professional | $3,046.83 | $4,425.43 | $7,730.74 | |
United
| Facility | $1,541.00 | $2,139.00 | $6,125.00 |