| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,014.60 | $7,172.93 | $14,848.31 | |
Cigna
| Facility | $715.00 | $728.96 | $3,497.15 | |
Kaiser Permanente
| Professional | $1,994.36 | $2,591.76 | $3,834.92 | |
United
| Facility | $847.00 | $847.00 | $1,560.00 |