| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,709.64 | $8,709.64 | $8,709.64 | |
Cigna
| Facility | $17,782.79 | $17,782.79 | $17,782.79 | |
Kaiser Permanente
| Professional | $776.25 | $870.96 | $1,380.38 | |
United
| Facility | $5,888.44 | $5,888.44 | $5,888.44 |