| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,293.40 | $7,293.40 | $7,293.40 | |
Cigna
| Facility | $445.00 | $453.73 | $8,142.86 | |
Kaiser Permanente
| Professional | $1,193.98 | $1,546.52 | $2,010.91 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |