| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.03 | $5,045.00 | $6,915.00 | |
Anthem BCBS
| Facility | $610.00 | $2,700.00 | $6,065.87 | |
CareSource
| Facility | $801.64 | $801.64 | $801.64 | |
Cigna
| Facility | $200.00 | $589.00 | $835.00 | |
Kaiser Permanente
| Professional | $320.83 | $417.09 | $950.20 | |
United
| Facility | $651.00 | $4,666.00 | $8,554.00 |