| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,831.64 | $12,831.64 | $12,831.64 | |
Cigna
| Facility | $715.00 | $715.00 | $728.96 | |
Kaiser Permanente
| Professional | $1,212.48 | $1,564.10 | $2,046.67 | |
United
| Facility | $847.00 | $847.00 | $1,560.00 |