| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,071.52 | $5,128.61 | $6,760.83 | |
Cigna
| Facility | $26,302.68 | $26,302.68 | $26,302.68 | |
Kaiser Permanente
| Professional | $371.54 | $416.87 | $776.25 | |
United
| Facility | $16,595.87 | $16,595.87 | $16,595.87 |