| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,036.18 | $15,036.18 | $15,036.18 | |
Cigna
| Facility | $582.00 | $629.00 | $2,530.00 | |
Kaiser Permanente
| Professional | $1,271.33 | $1,584.57 | $2,268.55 | |
United
| Facility | $303.00 | $362.00 | $1,109.00 |