| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,570.88 | $4,570.88 | $4,570.88 | |
Cigna
| Facility | $1,737.80 | $1,737.80 | $1,737.80 | |
Kaiser Permanente
| Professional | $354.81 | $407.38 | $630.96 | |
United
| Facility | $2,884.03 | $2,884.03 | $2,884.03 |