| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.37 | $3,391.00 | $6,915.00 | |
Anthem BCBS
| Facility | $759.49 | $2,152.57 | $4,143.39 | |
Cigna
| Facility | $550.00 | $550.00 | $550.00 | |
Kaiser Permanente
| Professional | $71.48 | $106.63 | $461.00 | |
United
| Facility | $424.00 | $2,360.00 | $4,066.00 |