| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,877.50 | $2,315.59 | $12,692.26 | |
Cigna
| Facility | $641.21 | $641.21 | $1,335.00 | |
Kaiser Permanente
| Professional | $1,989.46 | $2,622.42 | $3,350.67 | |
United
| Facility | $2,169.00 | $2,169.00 | $4,028.00 |