| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,290.87 | $4,365.16 | $7,413.10 | |
Anthem BCBS
| Facility | $7,943.28 | $7,943.28 | $7,943.28 | |
Cigna
| Facility | $199.53 | $199.53 | $2,511.89 | |
Kaiser Permanente
| Professional | $112.20 | $165.96 | $724.44 | |
United
| Facility | $177.83 | $1,513.56 | $2,511.89 |