| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.20 | $3,460.00 | $6,915.00 | |
Anthem BCBS
| Facility | $7,875.00 | $7,875.00 | $7,875.00 | |
Cigna
| Facility | $88.74 | $88.74 | $88.74 | |
Kaiser Permanente
| Professional | $61.16 | $234.72 | $422.59 | |
United
| Facility | $353.00 | $1,580.00 | $2,665.00 |