| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.63 | $1,698.24 | $2,691.53 | |
Aetna
| Professional | $141.25 | $363.08 | $467.74 | |
Anthem BCBS
| Facility | $616.60 | $1,380.38 | $2,344.23 | |
Anthem BCBS
| Professional | $204.17 | $204.17 | $478.63 | |
Cigna
| Facility | $257.04 | $316.23 | $1,479.11 | |
Cigna
| Professional | $588.84 | $588.84 | $707.95 | |
Kaiser Permanente
| Professional | $676.08 | $676.08 | $691.83 | |
Select Health
| Professional | $338.84 | $478.63 | $478.63 | |
United
| Professional | $87.10 | $87.10 | $204.17 |