| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,583.13 | $8,431.00 | $8,431.00 | |
Cigna
| Facility | $2,428.14 | $2,428.14 | $2,428.14 | |
Kaiser Permanente
| Professional | $1,121.60 | $1,269.74 | $1,481.37 | |
United
| Facility | $2,912.00 | $2,912.00 | $2,912.00 |