| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,041.74 | $2,041.74 | $2,041.74 | |
Cigna
| Facility | $512.86 | $512.86 | $645.65 | |
Kaiser Permanente
| Professional | $2,041.74 | $2,290.87 | $3,715.35 | |
United
| Facility | $1,995.26 | $2,187.76 | $4,073.80 |