| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,924.00 | $5,484.00 | $6,718.00 | |
Cigna
| Facility | $3,267.63 | $3,267.63 | $3,267.63 | |
Kaiser Permanente
| Professional | $742.33 | $840.37 | $980.43 | |
United
| Facility | $2,155.00 | $2,155.00 | $2,155.00 |