| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,953.63 | $10,494.63 | $13,792.19 | |
Cigna
| Facility | $627.00 | $641.21 | $9,053.32 | |
Kaiser Permanente
| Professional | $1,055.71 | $1,365.59 | $1,778.03 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |