| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 50 | $11,704.68 | $11,704.68 | $11,704.68 |
Cigna
| Facility | $507.00 | $518.54 | $1,490.90 | |
Kaiser Permanente
| Professional | $491.06 | $643.79 | $918.96 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |