| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,184.08 | $3,184.08 | $3,184.08 | |
Cigna
| Facility | $424.00 | $449.41 | $1,205.38 | |
Kaiser Permanente
| Professional | $518.23 | $595.96 | $777.35 | |
United
| Facility | $1,009.00 | $1,009.00 | $4,561.46 |