| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,290.87 | $2,290.87 | $2,630.27 | |
Cigna
| Facility | $1,778.28 | $1,778.28 | $1,778.28 | |
Kaiser Permanente
| Professional | $165.96 | $190.55 | $309.03 | |
United
| Facility | $1,621.81 | $1,621.81 | $1,621.81 |