| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,528.00 | $5,625.00 | $6,084.00 | |
Cigna
| Facility | $1,749.74 | $1,749.74 | $1,749.74 | |
Kaiser Permanente
| Professional | $603.79 | $658.68 | $768.46 | |
United
| Facility | $2,912.00 | $2,912.00 | $2,912.00 |