| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,635.55 | $2,747.00 | $5,484.00 | |
Cigna
| Facility | $1,537.42 | $1,537.42 | $1,537.42 | |
Kaiser Permanente
| Professional | $403.28 | $439.94 | $513.27 | |
United
| Facility | $2,912.00 | $2,912.00 | $2,912.00 |