| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $717.03 | $5,063.00 | $7,421.00 | |
Anthem BCBS
| Facility | $1,651.82 | $4,800.00 | $9,365.64 | |
Cigna
| Facility | $550.00 | $550.00 | $550.00 | |
Kaiser Permanente
| Professional | $394.23 | $512.50 | $2,580.00 | |
United
| Facility | $1,738.00 | $7,794.00 | $14,048.00 |