| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,370.32 | $5,370.32 | $5,370.32 | |
Cigna
| Facility | $1,479.11 | $1,479.11 | $1,479.11 | |
Kaiser Permanente
| Professional | $549.54 | $741.31 | $1,096.48 | |
United
| Facility | $1,621.81 | $1,621.81 | $1,621.81 |