| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $637.45 | $3,963.00 | $6,915.00 | |
Anthem BCBS
| Facility | $964.00 | $2,354.21 | $5,240.56 | |
Cigna
| Facility | $1,761.45 | $1,761.45 | $1,761.45 | |
Kaiser Permanente
| Professional | $413.29 | $537.28 | $790.66 | |
United
| Facility | $1,200.00 | $4,826.00 | $7,889.00 |