| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,089.30 | $5,495.41 | $10,715.19 | |
Anthem BCBS
| Facility | $14,125.38 | $20,417.38 | $38,904.51 | |
Cigna
| Facility | $1,905.46 | $6,309.57 | $19,952.62 | |
Kaiser Permanente
| Professional | $1,047.13 | $1,513.56 | $5,495.41 | |
United
| Facility | $2,630.27 | $6,025.60 | $11,481.54 |