| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,810.42 | $1,810.42 | $1,810.42 | |
Cigna
| Facility | $485.00 | $513.90 | $1,205.38 | |
Kaiser Permanente
| Professional | $606.95 | $697.99 | $910.43 | |
United
| Facility | $1,009.00 | $1,009.00 | $1,009.00 |