| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,236.74 | $7,278.00 | $10,261.00 | |
Cigna
| Facility | $13,832.00 | $20,514.00 | $37,262.00 | |
Kaiser Permanente
| Professional | $2,929.10 | $2,929.10 | $2,929.10 | |
United
| Facility | $4,062.00 | $11,403.04 | $41,544.00 |