| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,615.89 | $6,668.69 | $9,055.00 | |
Cigna
| Facility | $507.00 | $641.21 | $14,328.34 | |
Kaiser Permanente
| Professional | $842.72 | $1,093.26 | $1,468.21 | |
United
| Facility | $2,169.00 | $2,169.00 | $4,028.00 |