| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,818.38 | $6,918.31 | $6,918.31 | |
Aetna
| Professional | $1,659.59 | $2,089.30 | $4,365.16 | |
Cigna
| Professional | $1,174.90 | $1,174.90 | $1,659.59 | |
Kaiser Permanente
| Professional | $2,238.72 | $2,511.89 | $3,162.28 | |
United
| Facility | $3,019.95 | $3,019.95 | $3,019.95 | |
United
| Professional | $1,174.90 | $1,778.28 | $3,890.45 |