| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,392.59 | $2,392.59 | $20,926.63 | |
Cigna
| Facility | $627.00 | $641.21 | $13,306.63 | |
Kaiser Permanente
| Professional | $1,268.23 | $1,642.34 | $2,134.32 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |