| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,220.18 | $11,220.18 | $11,220.18 | |
Cigna
| Facility | $5,128.61 | $5,128.61 | $5,128.61 | |
Kaiser Permanente
| Professional | $691.83 | $776.25 | $1,412.54 | |
United
| Facility | $3,548.13 | $3,548.13 | $3,548.13 |