| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,294.96 | $9,294.96 | $9,294.96 | |
Cigna
| Facility | $627.00 | $641.21 | $8,479.49 | |
Kaiser Permanente
| Professional | $1,140.67 | $1,475.44 | $1,921.12 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |