| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,128.31 | $8,128.31 | $8,128.31 | |
Cigna
| Facility | $602.56 | $6,760.83 | $9,549.93 | |
Kaiser Permanente
| Professional | $4,073.80 | $6,760.83 | $9,332.54 | |
United
| Facility | $1,548.82 | $2,238.72 | $6,165.95 |