| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,230.27 | $3,090.30 | $5,248.07 | |
Cigna
| Facility | $2,630.27 | $2,630.27 | $2,630.27 | |
Kaiser Permanente
| Professional | $380.19 | $436.52 | $707.95 | |
United
| Facility | $1,621.81 | $1,621.81 | $1,621.81 |