| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $691.83 | $4,570.88 | $7,413.10 | |
Anthem BCBS
| Facility | $1,000.00 | $2,630.27 | $6,025.60 | |
Cigna
| Facility | $676.08 | $851.14 | $2,187.76 | |
Kaiser Permanente
| Professional | $436.52 | $616.60 | $2,089.30 | |
United
| Facility | $1,122.02 | $4,168.69 | $6,918.31 |