| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $493.03 | $4,501.00 | $7,421.00 | |
Anthem BCBS
| Facility | $1,206.01 | $3,514.57 | $6,339.18 | |
Cigna
| Facility | $2,472.46 | $2,472.46 | $2,472.46 | |
Kaiser Permanente
| Professional | $560.29 | $664.60 | $906.27 | |
United
| Facility | $1,519.00 | $6,351.00 | $8,836.00 |