| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $350.04 | $5,045.00 | $6,915.00 | |
Anthem BCBS
| Facility | $1,860.62 | $5,304.99 | $10,832.53 | |
Cigna
| Facility | $3,064.29 | $3,064.29 | $3,064.29 | |
Kaiser Permanente
| Professional | $199.06 | $1,491.03 | $5,567.00 | |
United
| Facility | $1,519.00 | $6,351.00 | $8,836.00 |