| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,099.40 | $5,665.53 | $10,876.38 | |
Cigna
| Facility | $1,335.00 | $1,335.00 | $3,314.62 | |
Kaiser Permanente
| Professional | $1,170.39 | $1,528.92 | $1,978.66 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |