| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.69 | $3,715.35 | $7,413.10 | |
Anthem BCBS
| Facility | $691.83 | $2,089.30 | $4,677.35 | |
Cigna
| Facility | $501.19 | $707.95 | $2,187.76 | |
Kaiser Permanente
| Professional | $102.33 | $131.83 | $302.00 | |
Kaiser Permanente
| Professional | 52 | $85.11 | $85.11 | $109.65 |
United
| Facility | $524.81 | $2,454.71 | $5,248.07 |