| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,738.48 | $3,738.48 | $3,738.48 | |
Cigna
| Facility | $445.00 | $453.73 | $873.24 | |
Kaiser Permanente
| Professional | $510.32 | $658.31 | $870.06 | |
United
| Facility | $520.00 | $520.00 | $733.00 |