| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,048.31 | $13,463.92 | $19,464.59 | |
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
Kaiser Permanente
| Professional | $1,252.15 | $1,622.08 | $2,108.88 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |