| 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 | $1,122.02 | $1,288.25 | $2,137.96 | |
United
| Facility | $2,884.03 | $2,884.03 | $2,884.03 |