| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,765.31 | $9,510.53 | $19,083.00 | |
Cigna
| Facility | $3,076.35 | $3,076.35 | $3,076.35 | |
Kaiser Permanente
| Professional | $1,078.22 | $1,434.03 | $2,405.67 | |
United
| Facility | $2,882.00 | $2,882.00 | $2,882.00 |