| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,951.21 | $2,951.21 | $3,715.35 | |
Cigna
| Facility | $1,737.80 | $1,737.80 | $1,737.80 | |
Kaiser Permanente
| Professional | $380.19 | $436.52 | $676.08 | |
United
| Facility | $1,621.81 | $1,621.81 | $1,621.81 |