| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4,193.12 | $4,193.12 | $4,193.12 | |
Cigna
| Professional | $4,294.16 | $4,294.16 | $6,479.12 | |
Kaiser Permanente
| Professional | $5,279.29 | $5,759.22 | $5,999.19 | |
United
| Professional | $4,209.96 | $6,314.94 | $6,479.12 |