| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,019.81 | $4,019.81 | $4,019.81 | |
Cigna
| Facility | $582.00 | $629.00 | $2,530.00 | |
Kaiser Permanente
| Professional | $817.91 | $1,046.25 | $1,395.79 | |
United
| Facility | $303.00 | $362.00 | $1,109.00 |