| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $851.14 | $2,951.21 | $4,677.35 | |
Aetna
| Professional | $562.34 | $676.08 | $812.83 | |
Anthem BCBS
| Facility | $1,071.52 | $2,454.71 | $4,073.80 | |
Anthem BCBS
| Professional | $354.81 | $354.81 | $831.76 | |
Cigna
| Facility | $446.68 | $549.54 | $2,570.40 | |
Cigna
| Professional | $575.44 | $954.99 | $1,202.26 | |
Kaiser Permanente
| Professional | $1,202.26 | $1,202.26 | $1,202.26 | |
Select Health
| Professional | $831.76 | $831.76 | $831.76 | |
United
| Facility | $380.19 | $380.19 | $380.19 | |
United
| Professional | $354.81 | $354.81 | $616.60 |