| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $724.44 | $6,760.83 | $12,589.25 | |
Cigna
| Facility | $3,162.28 | $3,162.28 | $3,162.28 | |
Kaiser Permanente
| Professional | $645.65 | $724.44 | $1,318.26 | |
United
| Facility | $3,548.13 | $3,548.13 | $3,548.13 |