| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,802.26 | $2,802.26 | $2,802.26 | |
Cigna
| Facility | $627.00 | $641.21 | $791.44 | |
Kaiser Permanente
| Professional | $809.05 | $1,043.67 | $1,386.38 | |
United
| Facility | $520.00 | $520.00 | $733.00 |