| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17,007.63 | $17,007.63 | $17,007.63 | |
Cigna
| Facility | $507.00 | $507.00 | $518.54 | |
Kaiser Permanente
| Professional | $1,613.02 | $2,094.08 | $2,716.67 | |
United
| Facility | $847.00 | $847.00 | $1,560.00 |