| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,258.93 | $5,370.32 | $9,549.93 | |
Anthem BCBS
| Facility | $1,737.80 | $4,897.79 | $10,232.93 | |
Cigna
| Facility | $549.54 | $549.54 | $549.54 | |
Kaiser Permanente
| Professional | $794.33 | $977.24 | $1,659.59 | |
United
| Facility | $602.56 | $3,235.94 | $7,943.28 |