| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $193.22 | $5,045.00 | $6,915.00 | |
Anthem BCBS
| Facility | $1,206.01 | $3,514.57 | $6,339.18 | |
Cigna
| Facility | $550.00 | $550.00 | $550.00 | |
Kaiser Permanente
| Professional | $186.11 | $241.94 | $279.32 | |
United
| Facility | $607.00 | $3,629.00 | $10,000.00 |