| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,896.00 | $8,208.00 | $8,208.00 | |
Cigna
| Facility | $6,326.00 | $6,346.00 | $7,933.00 | |
Kaiser Permanente
| Facility | $2,752.00 | $2,752.00 | $2,752.00 | |
United
| Facility | $506.00 | $1,204.00 | $5,183.00 |