| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,057.06 | $2,057.06 | $2,057.06 | |
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
Kaiser Permanente
| Professional | $2,200.64 | $2,879.74 | $3,706.34 | |
United
| Facility | $2,169.00 | $2,169.00 | $4,028.00 |