| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $216.01 | $5,063.00 | $7,631.00 | |
Aetna
| Professional | $164.73 | $207.30 | $225.89 | |
Anthem BCBS
| Professional | $269.16 | $356.83 | $381.65 | |
Cigna
| Facility | $12,969.00 | $15,987.00 | $15,987.00 | |
Kaiser Permanente
| Professional | $263.61 | $342.69 | $500.86 | |
United
| Professional | $194.60 | $272.27 | $563.61 |