| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,698.24 | $9,549.93 | $15,848.93 | |
Cigna
| Facility | $13,803.84 | $20,417.38 | $37,153.52 | |
Kaiser Permanente
| Professional | $1,778.28 | $1,778.28 | $1,905.46 | |
United
| Facility | $19,952.62 | $57,543.99 | $91,201.08 |