| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,267.15 | $5,374.47 | $10,093.53 | |
Cigna
| Facility | $641.21 | $1,335.00 | $3,314.62 | |
Kaiser Permanente
| Professional | $1,067.84 | $1,381.94 | $2,064.05 | |
United
| Facility | $918.00 | $972.90 | $2,156.00 |