| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $4,466.84 | $4,466.84 | |
Cigna
| Facility | $1,258.93 | $1,258.93 | $1,258.93 | |
Kaiser Permanente
| Professional | $389.05 | $467.74 | $575.44 | |
United
| Facility | $3,019.95 | $3,019.95 | $3,019.95 |