| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,258.93 | $3,548.13 | $8,912.51 | |
Aetna
| Professional | $131.83 | $190.55 | $398.11 | |
Anthem BCBS
| Facility | $4,570.88 | $9,549.93 | $17,378.01 | |
Anthem BCBS
| Professional | $154.88 | $204.17 | $331.13 | |
Cigna
| Facility | $239.88 | $1,737.80 | $5,370.32 | |
Cigna
| Professional | $165.96 | $245.47 | $371.54 | |
Kaiser Permanente
| Professional | $128.82 | $181.97 | $380.19 | |
Select Health
| Professional | $128.82 | $128.82 | $229.09 | |
United
| Facility | $2,630.27 | $6,025.60 | $11,481.54 | |
United
| Professional | $169.82 | $257.04 | $398.11 |