| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,949.84 | $5,495.41 | $5,495.41 | |
Cigna
| Facility | $1,548.82 | $1,548.82 | $1,548.82 | |
Kaiser Permanente
| Professional | $501.19 | $602.56 | $741.31 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |