| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,797.19 | $2,797.19 | $2,797.19 | |
Cigna
| Facility | $865.69 | $947.00 | $1,018.46 | |
Kaiser Permanente
| Professional | $689.59 | $793.03 | $1,034.39 | |
United
| Facility | $1,009.00 | $1,009.00 | $1,009.00 |