| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,454.71 | $4,365.16 | $6,760.83 | |
Cigna
| Facility | $3,019.95 | $3,019.95 | $3,019.95 | |
Kaiser Permanente
| Professional | $741.31 | $831.76 | $1,380.38 | |
United
| Facility | $3,548.13 | $3,548.13 | $3,548.13 |