| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,128.61 | $5,128.61 | $5,128.61 | |
Cigna
| Facility | $3,090.30 | $3,090.30 | $3,090.30 | |
Kaiser Permanente
| Professional | $1,445.44 | $1,659.59 | $2,691.53 | |
United
| Facility | $2,884.03 | $2,884.03 | $2,884.03 |