| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,380.38 | $7,244.36 | $18,197.01 | |
Cigna
| Facility | $13,803.84 | $20,417.38 | $37,153.52 | |
Kaiser Permanente
| Professional | $1,348.96 | $1,348.96 | $1,380.38 | |
United
| Facility | $4,897.79 | $13,489.63 | $57,543.99 |