| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,887.11 | $5,887.11 | $5,887.11 | |
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
Kaiser Permanente
| Professional | $673.18 | $878.05 | $1,217.84 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |