| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,861.43 | $2,747.00 | $6,084.00 | |
Cigna
| Facility | $1,749.74 | $1,749.74 | $1,749.74 | |
Kaiser Permanente
| Professional | $625.61 | $682.49 | $796.24 | |
United
| Facility | $2,155.00 | $2,155.00 | $2,155.00 |