| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,797.93 | $3,797.93 | $3,797.93 | |
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
Kaiser Permanente
| Professional | $1,373.36 | $1,798.21 | $2,313.02 | |
United
| Facility | $2,169.00 | $2,169.00 | $4,028.00 |