| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,047.13 | $8,317.64 | $12,022.64 | |
Cigna
| Facility | $3,019.95 | $3,019.95 | $3,019.95 | |
Kaiser Permanente
| Professional | $851.14 | $977.24 | $1,778.28 | |
United
| Facility | $2,884.03 | $2,884.03 | $2,884.03 |