| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,907.99 | $4,907.99 | $23,831.81 | |
Cigna
| Facility | $445.00 | $453.73 | $2,916.94 | |
Kaiser Permanente
| Professional | $1,038.00 | $1,346.94 | $1,748.21 | |
United
| Facility | $774.00 | $969.92 | $12,808.14 |