| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,311.31 | $7,079.46 | $22,387.21 | |
Cigna
| Facility | $5,011.87 | $5,011.87 | $5,011.87 | |
Kaiser Permanente
| Professional | $1,047.13 | $1,202.26 | $2,187.76 | |
United
| Facility | $2,884.03 | $2,884.03 | $2,884.03 |