| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $582.00 | $5,063.00 | $7,767.00 | |
Anthem BCBS
| Facility | $1,566.79 | $4,845.66 | $10,832.53 | |
Cigna
| Facility | $3,064.29 | $3,064.29 | $3,064.29 | |
Kaiser Permanente
| Professional | $332.20 | $431.86 | $2,406.67 | |
United
| Facility | $1,200.00 | $4,826.00 | $7,889.00 |