| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $291.43 | $5,063.00 | $9,488.00 | |
Anthem BCBS
| Facility | $1,260.71 | $6,732.00 | $19,223.18 | |
Cigna
| Facility | $14,217.00 | $26,620.00 | $41,098.00 | |
Kaiser Permanente
| Professional | $187.00 | $218.16 | $581.59 | |
United
| Facility | $1,998.00 | $9,193.00 | $18,613.00 |