| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,332.54 | $9,332.54 | $9,332.54 | |
Cigna
| Facility | $512.86 | $512.86 | $645.65 | |
Kaiser Permanente
| Professional | $380.19 | $416.87 | $616.60 | |
United
| Facility | $446.68 | $1,000.00 | $3,548.13 |