| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $6,966.00 | $8,499.00 | |
Cigna
| Facility | $3,267.63 | $3,267.63 | $3,267.63 | |
Kaiser Permanente
| Professional | $630.01 | $687.29 | $801.84 | |
United
| Facility | $3,028.00 | $3,028.00 | $3,028.00 |