| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,668.17 | $5,668.17 | $9,062.78 | |
Cigna
| Facility | $582.00 | $629.00 | $2,530.00 | |
Kaiser Permanente
| Professional | $1,329.74 | $1,683.58 | $2,374.05 | |
United
| Facility | $717.00 | $964.00 | $2,489.00 |