| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $838.00 | $4,467.00 | $6,915.00 | |
Anthem BCBS
| Facility | $722.00 | $3,142.00 | $8,028.57 | |
CareSource
| Facility | $937.65 | $937.65 | $937.65 | |
Cigna
| Facility | $512.00 | $703.00 | $3,685.16 | |
Kaiser Permanente
| Professional | $540.28 | $702.36 | $3,568.00 | |
United
| Facility | $576.00 | $3,895.00 | $6,995.00 |