| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.62 | $2,760.00 | $6,915.00 | |
Anthem BCBS
| Facility | $480.00 | $1,729.39 | $3,784.98 | |
CareSource
| Facility | $582.64 | $582.64 | $582.64 | |
Cigna
| Facility | $412.36 | $610.44 | $788.49 | |
Kaiser Permanente
| Professional | $106.04 | $454.69 | $1,145.82 | |
United
| Facility | $515.00 | $2,307.00 | $5,272.00 |