| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,090.30 | $5,370.32 | $10,715.19 | |
Cigna
| Facility | $549.54 | $549.54 | $549.54 | |
Kaiser Permanente
| Professional | $281.84 | $398.11 | $1,288.25 | |
United
| Facility | $10,471.29 | $13,803.84 | $20,417.38 |