| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,479.85 | $7,479.85 | $7,479.85 | |
Cigna
| Facility | $2,346.87 | $2,346.87 | $2,346.87 | |
Kaiser Permanente
| Professional | $391.69 | $520.95 | $837.08 | |
United
| Facility | $9,872.90 | $9,872.90 | $9,872.90 |