| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,938.30 | $5,938.30 | $5,938.30 | |
Cigna
| Facility | $330.00 | $339.05 | $2,339.15 | |
Kaiser Permanente
| Professional | $347.55 | $443.90 | $562.41 | |
United
| Facility | $119.88 | $588.00 | $6,878.02 |