| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,667.97 | $7,192.28 | $21,131.09 | |
Cigna
| Facility | $627.00 | $641.21 | $4,321.28 | |
Kaiser Permanente
| Professional | $1,095.66 | $1,415.90 | $1,974.83 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |