| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,583.13 | $3,107.00 | $8,431.00 | |
Cigna
| Facility | $2,428.14 | $2,428.14 | $2,428.14 | |
Kaiser Permanente
| Professional | $1,516.21 | $1,716.47 | $2,002.55 | |
United
| Facility | $2,912.00 | $2,912.00 | $2,912.00 |