| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $479.31 | $4,592.00 | $6,915.00 | |
Anthem BCBS
| Facility | $823.00 | $2,072.58 | $3,667.01 | |
CareSource
| Facility | $452.57 | $452.57 | $452.57 | |
Cigna
| Facility | $304.10 | $304.10 | $2,500.00 | |
Kaiser Permanente
| Professional | $290.38 | $446.13 | $772.99 | |
United
| Facility | $175.00 | $1,550.00 | $2,665.00 |