| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $502.65 | $3,018.00 | $6,915.00 | |
Anthem BCBS
| Facility | $572.89 | $2,155.98 | $4,875.60 | |
CareSource
| Facility | $613.21 | $613.21 | $613.21 | |
Cigna
| Facility | $364.86 | $512.00 | $731.00 | |
Kaiser Permanente
| Professional | $207.15 | $459.73 | $1,401.00 | |
United
| Facility | $515.00 | $2,307.00 | $5,272.00 |