| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $524.81 | $1,862.09 | $2,951.21 | |
Aetna
| Professional | $316.23 | $426.58 | $524.81 | |
Anthem BCBS
| Facility | $676.08 | $1,513.56 | $2,570.40 | |
Anthem BCBS
| Professional | $223.87 | $223.87 | $524.81 | |
Cigna
| Facility | $281.84 | $346.74 | $1,621.81 | |
Cigna
| Professional | $645.65 | $645.65 | $776.25 | |
Kaiser Permanente
| Professional | $741.31 | $741.31 | $741.31 | |
Select Health
| Professional | $371.54 | $524.81 | $524.81 | |
United
| Professional | $223.87 | $223.87 | $316.23 |