| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,168.69 | $4,365.16 | $8,128.31 | |
Cigna
| Facility | $21,379.62 | $21,379.62 | $21,379.62 | |
Kaiser Permanente
| Professional | $602.56 | $676.08 | $954.99 | |
United
| Facility | $10,000.00 | $10,000.00 | $10,000.00 |