| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,614.00 | $9,462.00 | $15,893.00 | |
Cigna
| Facility | $13,832.00 | $20,514.00 | $37,262.00 | |
Kaiser Permanente
| Professional | $2,320.17 | $2,320.17 | $2,320.17 | |
United
| Facility | $19,948.00 | $27,440.00 | $90,524.00 |