| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,412.54 | $7,244.36 | $10,232.93 | |
Cigna
| Facility | $13,803.84 | $20,417.38 | $37,153.52 | |
Kaiser Permanente
| Professional | $2,691.53 | $2,691.53 | $2,951.21 | |
United
| Facility | $4,897.79 | $13,489.63 | $41,686.94 |