| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23,797.51 | $23,797.51 | $23,797.51 | |
Cigna
| Facility | $582.00 | $629.00 | $2,530.00 | |
Cigna
| Facility | AS | $184.06 | $184.06 | $184.06 |
Kaiser Permanente
| Professional | $1,603.02 | $1,978.45 | $2,849.81 | |
United
| Facility | $303.00 | $362.00 | $1,109.00 |