| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $376.41 | $4,592.00 | $6,915.00 | |
Anthem BCBS
| Facility | $1,860.62 | $5,304.99 | $10,832.53 | |
Cigna
| Facility | $4,223.62 | $4,223.62 | $4,223.62 | |
Kaiser Permanente
| Professional | $196.48 | $255.42 | $1,268.00 | |
United
| Facility | $1,519.00 | $6,351.00 | $8,836.00 |