| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,238.72 | $2,238.72 | $2,238.72 | |
Cigna
| Facility | $3,019.95 | $3,019.95 | $3,019.95 | |
Kaiser Permanente
| Professional | $501.19 | $575.44 | $912.01 | |
United
| Facility | $3,548.13 | $3,548.13 | $3,548.13 |