| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,512.94 | $5,604.72 | $9,347.82 | |
Cigna
| Facility | $641.21 | $715.00 | $4,522.04 | |
Kaiser Permanente
| Professional | $1,119.23 | $1,443.81 | $2,153.90 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |