| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,147.10 | $8,147.10 | $8,147.10 | |
Cigna
| Facility | $599.00 | $6,755.62 | $9,600.09 | |
Kaiser Permanente
| Professional | $4,859.47 | $7,063.36 | $12,084.70 | |
United
| Facility | $1,541.00 | $2,139.00 | $6,125.00 |