| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,312.54 | $4,312.54 | $4,312.54 | |
Cigna
| Facility | $582.00 | $629.00 | $17,483.00 | |
Kaiser Permanente
| Professional | $1,108.33 | $1,366.73 | $1,920.21 | |
United
| Facility | $1,541.00 | $2,139.00 | $6,125.00 |