| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $360.67 | $5,063.00 | $7,001.85 | |
Anthem BCBS
| Facility | $1,135.89 | $2,987.00 | $6,315.83 | |
Cigna
| Facility | $2,034.12 | $2,034.12 | $2,034.12 | |
Kaiser Permanente
| Professional | $206.04 | $267.85 | $1,076.95 | |
United
| Facility | $607.00 | $3,218.00 | $5,272.00 |