| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.81 | $2,987.00 | $6,915.00 | |
Anthem BCBS
| Facility | $480.00 | $1,729.39 | $3,784.98 | |
CareSource
| Facility | $1,228.42 | $1,228.42 | $1,228.42 | |
Cigna
| Facility | $338.00 | $546.00 | $770.87 | |
Kaiser Permanente
| Professional | $56.37 | $665.63 | $1,677.39 | |
United
| Facility | $515.00 | $2,307.00 | $5,272.00 |