| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,949.84 | $5,495.41 | $5,495.41 | |
Cigna
| Facility | $2,454.71 | $2,454.71 | $2,454.71 | |
Kaiser Permanente
| Professional | $602.56 | $724.44 | $891.25 | |
United
| Facility | $2,137.96 | $2,137.96 | $2,137.96 |