| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,309.57 | $6,309.57 | $6,309.57 | |
Cigna
| Facility | $7,413.10 | $7,413.10 | $7,413.10 | |
Kaiser Permanente
| Professional | $4,265.80 | $5,623.41 | $10,715.19 | |
United
| Facility | $3,548.13 | $3,548.13 | $3,548.13 |