| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,313.95 | $9,313.95 | $9,313.95 | |
Cigna
| Facility | $682.00 | $722.49 | $1,575.38 | |
Kaiser Permanente
| Professional | $1,758.88 | $2,022.71 | $2,638.32 | |
United
| Facility | $1,386.00 | $1,386.00 | $1,386.00 |