| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,467.37 | $12,882.50 | $12,882.50 | |
Cigna
| Facility | $10,715.19 | $10,715.19 | $10,715.19 | |
Kaiser Permanente
| Professional | $575.44 | $645.65 | $870.96 | |
United
| Facility | $3,548.13 | $3,548.13 | $3,548.13 |