| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $851.14 | $4,168.69 | $7,413.10 | |
Anthem BCBS
| Facility | $1,071.52 | $2,884.03 | $6,918.31 | |
Cigna
| Facility | $3,715.35 | $3,715.35 | $3,715.35 | |
Kaiser Permanente
| Professional | $588.84 | $707.95 | $1,047.13 | |
United
| Facility | $1,737.80 | $6,918.31 | $12,022.64 |