| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,657.97 | $13,657.97 | $13,657.97 | |
Cigna
| Facility | $507.00 | $518.54 | $8,505.95 | |
Kaiser Permanente
| Professional | $1,113.95 | $1,440.90 | $1,876.13 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |