| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,698.24 | $4,365.16 | $7,413.10 | |
Anthem BCBS
| Facility | $691.83 | $2,041.74 | $4,677.35 | |
Cigna
| Facility | $457.09 | $707.95 | $1,348.96 | |
Kaiser Permanente
| Professional | $208.93 | $269.15 | $1,096.48 | |
Kaiser Permanente
| Professional | 52 | $181.97 | $181.97 | $234.42 |
United
| Facility | $524.81 | $2,454.71 | $5,248.07 |