| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,511.89 | $2,511.89 | $2,511.89 | |
Cigna
| Facility | $3,090.30 | $3,090.30 | $3,090.30 | |
Kaiser Permanente
| Professional | $1,348.96 | $1,548.82 | $2,630.27 | |
United
| Facility | $2,884.03 | $2,884.03 | $2,884.03 |