| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $184.19 | $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 | $176.89 | $229.96 | $266.85 | |
United
| Facility | $1,162.00 | $3,372.00 | $8,133.00 |