| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $454.46 | $4,708.00 | $6,915.00 | |
Anthem BCBS
| Facility | $578.00 | $2,174.58 | $4,819.75 | |
CareSource
| Facility | $449.71 | $449.71 | $449.71 | |
Cigna
| Facility | $506.00 | $703.00 | $1,091.58 | |
Kaiser Permanente
| Professional | $218.17 | $283.62 | $732.17 | |
United
| Facility | $515.00 | $2,307.00 | $5,272.00 |