| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.67 | $3,214.00 | $6,915.00 | |
Anthem BCBS
| Facility | $7,875.00 | $7,875.00 | $7,875.00 | |
Cigna
| Facility | $61.55 | $61.55 | $61.55 | |
Kaiser Permanente
| Professional | $41.80 | $158.07 | $528.99 | |
United
| Facility | $353.00 | $1,580.00 | $2,665.00 |