| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,986.47 | $2,437.37 | $2,437.37 | |
Cigna
| Facility | $2,659.03 | $2,659.03 | $2,659.03 | |
Kaiser Permanente
| Professional | $713.12 | $948.45 | $1,526.06 | |
United
| Facility | $1,628.00 | $1,628.00 | $1,628.00 |