| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,071.52 | $6,309.57 | $10,964.78 | |
Cigna
| Facility | $3,090.30 | $3,090.30 | $3,090.30 | |
Kaiser Permanente
| Professional | $954.99 | $1,071.52 | $1,698.24 | |
United
| Facility | $2,884.03 | $2,884.03 | $2,884.03 |