| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $187.70 | $2,595.00 | $6,915.00 | |
Anthem BCBS
| Facility | $734.14 | $1,990.17 | $3,851.83 | |
Cigna
| Facility | $263.64 | $263.64 | $263.64 | |
Kaiser Permanente
| Professional | $120.29 | $229.55 | $298.00 | |
United
| Facility | $212.00 | $1,550.00 | $2,665.00 |