| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,691.53 | $2,691.53 | $5,248.07 | |
Cigna
| Facility | $645.65 | $1,122.02 | $1,348.96 | |
Kaiser Permanente
| Professional | $660.69 | $724.44 | $1,380.38 | |
United
| Facility | $478.63 | $616.60 | $1,621.81 |