| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,170.00 | $10,066.00 | $10,066.00 | |
Cigna
| Facility | $2,296.00 | $2,296.00 | $9,303.00 | |
Kaiser Permanente
| Facility | $2,752.00 | $2,752.00 | $2,752.00 | |
United
| Facility | $506.00 | $1,943.00 | $10,899.00 |