| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,981.07 | $3,981.07 | $3,981.07 | |
Cigna
| Facility | $331.13 | $331.13 | $338.84 | |
Kaiser Permanente
| Professional | $72.44 | $81.28 | $125.89 | |
United
| Facility | $53.70 | $123.03 | $426.58 |