| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,090.30 | $5,370.32 | $10,715.19 | |
Cigna
| Facility | $794.33 | $794.33 | $2,137.96 | |
Kaiser Permanente
| Professional | $74.13 | $104.71 | $363.08 | |
United
| Facility | $630.96 | $1,479.11 | $2,691.53 |