| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,782.25 | $16,782.25 | $16,782.25 | |
Cigna
| Facility | $507.00 | $518.54 | $3,314.62 | |
Kaiser Permanente
| Professional | $754.59 | $973.42 | $1,272.51 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |