| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $4,365.16 | $9,549.93 | |
Anthem BCBS
| Facility | $1,258.93 | $4,265.80 | $12,022.64 | |
Cigna
| Facility | $14,791.08 | $26,915.35 | $40,738.03 | |
Kaiser Permanente
| Professional | $251.19 | $281.84 | $512.86 | |
United
| Facility | $1,513.56 | $5,754.40 | $8,511.38 |