| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $853.71 | $3,460.00 | $6,915.00 | |
Anthem BCBS
| Facility | $1,034.84 | $3,640.00 | $8,545.91 | |
Cigna
| Facility | $3,685.16 | $3,685.16 | $3,685.16 | |
Kaiser Permanente
| Professional | $714.99 | $964.59 | $1,258.16 | |
United
| Facility | $1,200.00 | $4,826.00 | $7,889.00 |