| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $691.20 | $4,368.00 | $6,915.00 | |
Anthem BCBS
| Facility | $572.89 | $2,098.00 | $6,065.87 | |
CareSource
| Facility | $596.87 | $596.87 | $596.87 | |
Cigna
| Facility | $448.00 | $715.00 | $5,429.29 | |
Kaiser Permanente
| Professional | $376.37 | $489.28 | $2,096.26 | |
United
| Facility | $576.00 | $3,895.00 | $6,995.00 |