| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,304.78 | $19,304.78 | $19,304.78 | |
Cigna
| Facility | $715.00 | $728.96 | $8,799.36 | |
Kaiser Permanente
| Professional | $1,096.35 | $1,417.66 | $1,846.50 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |