| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,126.10 | $5,627.96 | $15,760.62 | |
Cigna
| Facility | $26,282.79 | $26,282.79 | $26,282.79 | |
Kaiser Permanente
| Professional | $935.80 | $1,207.18 | $2,023.78 | |
United
| Facility | $64,123.16 | $64,123.16 | $64,123.16 |