| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $294.01 | $1,614.00 | $9,274.00 | |
Cigna
| Facility | $13,832.00 | $20,514.00 | $37,262.00 | |
Kaiser Permanente
| Professional | $693.27 | $693.27 | $693.27 | |
United
| Facility | $4,062.00 | $5,185.00 | $12,340.00 |