| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,352.00 | $5,063.00 | $7,421.00 | |
Anthem BCBS
| Facility | $814.00 | $3,640.00 | $9,156.52 | |
CareSource
| Facility | $7,486.31 | $7,486.31 | $7,486.31 | |
Cigna
| Facility | $512.00 | $711.69 | $5,203.92 | |
Kaiser Permanente
| Professional | $464.22 | $3,819.54 | $7,152.00 | |
United
| Facility | $851.00 | $6,868.00 | $16,000.00 |