| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,366.46 | $6,563.97 | $9,879.09 | |
Cigna
| Facility | $1,335.00 | $1,335.00 | $3,314.62 | |
Kaiser Permanente
| Professional | $1,172.55 | $1,532.38 | $1,974.82 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |