| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,040.95 | $1,040.95 | $1,040.95 | |
Cigna
| Facility | $330.00 | $339.05 | $9,368.43 | |
Kaiser Permanente
| Professional | $329.77 | $425.40 | $570.91 | |
United
| Facility | $2,169.00 | $2,169.00 | $4,028.00 |