| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,649.60 | $17,104.16 | $17,104.16 | |
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
Kaiser Permanente
| Professional | $1,404.89 | $1,819.76 | $2,366.13 | |
United
| Facility | $847.00 | $847.00 | $1,560.00 |