| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $526.26 | $3,460.00 | $6,915.00 | |
Anthem BCBS
| Facility | $568.00 | $2,111.58 | $4,819.75 | |
CareSource
| Facility | $560.26 | $560.26 | $560.26 | |
Cigna
| Facility | $506.00 | $716.39 | $2,880.00 | |
Kaiser Permanente
| Professional | $292.52 | $380.28 | $684.84 | |
United
| Facility | $515.00 | $2,307.00 | $5,272.00 |