| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,623.41 | $5,623.41 | $5,623.41 | |
Cigna
| Facility | $3,090.30 | $3,090.30 | $3,090.30 | |
Kaiser Permanente
| Professional | $891.25 | $1,023.29 | $1,698.24 | |
United
| Facility | $1,621.81 | $1,621.81 | $1,621.81 |