| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,466.84 | $5,128.61 | $17,378.01 | |
Cigna
| Facility | $512.86 | $512.86 | $4,466.84 | |
Kaiser Permanente
| Professional | $776.25 | $851.14 | $1,621.81 | |
United
| Facility | $758.58 | $851.14 | $2,884.03 |