| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,025.60 | $6,025.60 | $6,025.60 | |
Cigna
| Facility | $2,630.27 | $2,630.27 | $2,630.27 | |
Kaiser Permanente
| Professional | $616.60 | $707.95 | $1,288.25 | |
United
| Facility | $3,548.13 | $3,548.13 | $3,548.13 |