| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $487.98 | $5,063.00 | $10,298.00 | |
Anthem BCBS
| Facility | $1,206.01 | $4,144.37 | $32,654.19 | |
Cigna
| Facility | $14,217.00 | $26,620.00 | $41,098.00 | |
Kaiser Permanente
| Professional | $362.69 | $423.14 | $922.36 | |
United
| Facility | $1,519.00 | $6,689.00 | $8,836.00 |