| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.09 | $13,688.39 | $17,506.71 | |
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
Kaiser Permanente
| Professional | $1,387.43 | $1,814.13 | $2,336.71 | |
United
| Facility | $2,169.00 | $2,169.00 | $4,028.00 |