| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $3,388.44 | $10,000.00 | |
Anthem BCBS
| Facility | $4,570.88 | $9,549.93 | $17,378.01 | |
Cigna
| Facility | $831.76 | $2,238.72 | $7,079.46 | |
Kaiser Permanente
| Professional | $467.74 | $676.08 | $1,949.84 | |
United
| Facility | $2,630.27 | $6,025.60 | $11,481.54 |