| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.65 | $3,391.00 | $6,915.00 | |
Anthem BCBS
| Facility | $480.00 | $1,729.39 | $3,784.98 | |
CareSource
| Facility | $25.55 | $25.55 | $25.55 | |
Cigna
| Facility | $338.00 | $519.00 | $835.00 | |
Kaiser Permanente
| Professional | $20.98 | $27.27 | $275.00 | |
United
| Facility | $77.00 | $866.00 | $2,665.00 |