| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4,980.00 | $4,980.00 | $5,100.00 | |
Cigna
| Professional | $5,100.00 | $5,100.00 | $7,695.00 | |
Kaiser Permanente
| Professional | $6,270.00 | $6,840.00 | $7,980.00 | |
United
| Professional | $4,500.00 | $6,540.75 | $7,695.00 |