| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.84 | $3,548.13 | $7,413.10 | |
Anthem BCBS
| Facility | $588.84 | $1,819.70 | $4,677.35 | |
Cigna
| Facility | $338.84 | $537.03 | $2,187.76 | |
Kaiser Permanente
| Professional | $478.63 | $707.95 | $1,258.93 | |
United
| Facility | $616.60 | $3,235.94 | $6,606.93 |