| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $4,466.84 | $5,623.41 | |
Cigna
| Facility | $1,258.93 | $1,258.93 | $1,258.93 | |
Kaiser Permanente
| Professional | $380.19 | $457.09 | $562.34 | |
United
| Facility | $2,884.03 | $2,884.03 | $2,884.03 |