| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,265.80 | $6,025.60 | $6,025.60 | |
Cigna
| Facility | $512.86 | $512.86 | $645.65 | |
Kaiser Permanente
| Professional | $912.01 | $1,023.29 | $1,949.84 | |
United
| Facility | $776.25 | $912.01 | $2,884.03 |