| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.60 | $2,137.96 | $3,388.44 | |
Aetna
| Professional | $338.84 | $489.78 | $575.44 | |
Anthem BCBS
| Facility | $776.25 | $1,737.80 | $2,951.21 | |
Anthem BCBS
| Professional | $257.04 | $257.04 | $602.56 | |
Cigna
| Facility | $323.59 | $398.11 | $1,862.09 | |
Cigna
| Professional | $741.31 | $741.31 | $891.25 | |
Kaiser Permanente
| Professional | $851.14 | $851.14 | $870.96 | |
Select Health
| Professional | $426.58 | $602.56 | $602.56 | |
United
| Professional | $257.04 | $257.04 | $363.08 |