| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,454.71 | $2,454.71 | $2,454.71 | |
Cigna
| Facility | $1,737.80 | $1,737.80 | $1,737.80 | |
Kaiser Permanente
| Professional | $257.04 | $295.12 | $478.63 | |
United
| Facility | $1,621.81 | $1,621.81 | $1,621.81 |