| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $214.55 | $5,063.00 | $7,631.00 | |
Aetna
| Professional | $39.07 | $214.55 | $547.10 | |
Anthem BCBS
| Facility | $1,206.01 | $3,514.57 | $6,339.18 | |
Anthem BCBS
| Professional | $197.10 | $220.11 | $465.62 | |
Cigna
| Facility | $550.00 | $550.00 | $550.00 | |
Cigna
| Professional | $226.36 | $351.19 | $578.34 | |
Kaiser Permanente
| Professional | $236.80 | $307.83 | $763.00 | |
United
| Facility | $607.00 | $3,629.00 | $10,000.00 | |
United
| Professional | $188.47 | $288.97 | $570.76 |