| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,670.45 | $9,670.45 | $9,670.45 | |
Cigna
| Facility | $445.00 | $453.73 | $3,697.13 | |
Kaiser Permanente
| Professional | $1,330.69 | $1,722.92 | $2,241.17 | |
United
| Facility | $847.00 | $847.00 | $1,560.00 |