| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,614.00 | $7,727.00 | $17,471.70 | |
Cigna
| Facility | $9,228.00 | $45,000.00 | $62,695.00 | |
Kaiser Permanente
| Professional | $2,200.84 | $2,200.84 | $2,200.84 | |
United
| Facility | $12,497.00 | $15,950.00 | $48,120.00 |