| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33,043.99 | $33,043.99 | $33,043.99 | |
Cigna
| Facility | $1,335.00 | $1,335.00 | $1,335.00 | |
Kaiser Permanente
| Professional | $1,572.53 | $2,069.42 | $2,648.46 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |