| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $641.29 | $4,592.00 | $7,268.00 | |
Anthem BCBS
| Facility | $1,155.80 | $3,116.30 | $6,315.83 | |
Cigna
| Facility | $1,518.23 | $1,518.23 | $1,518.23 | |
Kaiser Permanente
| Professional | $566.82 | $736.87 | $957.93 | |
United
| Facility | $1,200.00 | $4,826.00 | $7,889.00 |