| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,073.80 | $4,073.80 | $6,165.95 | |
Cigna
| Facility | $6,165.95 | $6,165.95 | $6,165.95 | |
Kaiser Permanente
| Professional | $354.81 | $398.11 | $724.44 | |
United
| Facility | $3,548.13 | $3,548.13 | $3,548.13 |