| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $870.96 | $6,309.57 | $9,332.54 | |
Cigna
| Facility | $4,786.30 | $5,888.44 | $8,709.64 | |
Kaiser Permanente
| Facility | $10,471.29 | $10,471.29 | $10,471.29 | |
United
| Facility | $10,471.29 | $12,022.64 | $13,182.57 |