| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,120.32 | $5,120.32 | $5,120.32 | |
Cigna
| Facility | $424.00 | $449.41 | $1,018.46 | |
Kaiser Permanente
| Professional | $666.99 | $767.04 | $1,000.49 | |
United
| Facility | $1,009.00 | $1,009.00 | $1,009.00 |