| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,776.68 | $10,158.89 | $12,837.69 | |
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
Kaiser Permanente
| Professional | $1,248.67 | $1,617.03 | $2,103.02 | |
United
| Facility | $847.00 | $847.00 | $1,560.00 |