| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $231.14 | $231.14 | $381.71 | |
Anthem BCBS
| Facility | $759.49 | $2,152.57 | $4,143.39 | |
Cigna
| Facility | $9,936.00 | $14,442.00 | $23,903.00 | |
Kaiser Permanente
| Professional | $201.96 | $262.55 | $1,415.00 | |
United
| Facility | $607.00 | $3,629.00 | $10,000.00 |