| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $2,630.27 | $4,168.69 | |
Aetna
| Professional | $501.19 | $602.56 | $758.58 | |
Anthem BCBS
| Facility | $954.99 | $2,187.76 | $3,630.78 | |
Anthem BCBS
| Professional | $316.23 | $316.23 | $575.44 | |
Cigna
| Facility | $398.11 | $489.78 | $2,290.87 | |
Cigna
| Professional | $316.23 | $870.96 | $1,071.52 | |
Kaiser Permanente
| Professional | $1,071.52 | $1,071.52 | $1,071.52 | |
Select Health
| Professional | $758.58 | $758.58 | $758.58 | |
United
| Facility | $338.84 | $338.84 | $338.84 | |
United
| Professional | $316.23 | $316.23 | $549.54 |