| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,202.00 | $4,467.00 | $6,915.00 | |
Anthem BCBS
| Facility | $610.00 | $2,700.00 | $6,065.87 | |
CareSource
| Facility | $1,871.57 | $1,871.57 | $1,871.57 | |
Cigna
| Facility | $512.00 | $703.00 | $5,077.18 | |
Kaiser Permanente
| Professional | $368.55 | $1,092.84 | $2,753.98 | |
United
| Facility | $651.00 | $4,666.00 | $8,554.00 |