| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,652.81 | $4,652.81 | $4,652.81 | |
Cigna
| Facility | $641.21 | $641.21 | $1,335.00 | |
Kaiser Permanente
| Professional | $1,888.38 | $2,490.60 | $3,180.43 | |
United
| Facility | $173.00 | $173.00 | $471.00 |