| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,981.07 | $3,981.07 | $3,981.07 | |
Cigna
| Facility | $630.96 | $630.96 | $645.65 | |
Kaiser Permanente
| Professional | $1,047.13 | $1,174.90 | $1,862.09 | |
United
| Facility | $588.84 | $851.14 | $2,238.72 |