| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,780.27 | $5,006.53 | $22,930.65 | |
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
Kaiser Permanente
| Professional | $1,060.66 | $1,372.38 | $1,786.37 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |