| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,047.14 | $2,741.90 | $3,536.89 | |
Cigna
| Facility | $330.00 | $339.05 | $873.24 | |
Kaiser Permanente
| Professional | $784.95 | $1,032.80 | $1,400.21 | |
United
| Facility | $520.00 | $520.00 | $733.00 |