| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,015.12 | $8,015.12 | $8,015.12 | |
Cigna
| Facility | $7,957.09 | $7,957.09 | $7,957.09 | |
Kaiser Permanente
| Professional | $347.96 | $448.87 | $754.40 | |
United
| Facility | $3,677.00 | $3,677.00 | $3,677.00 |