| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $762.46 | $5,045.00 | $6,915.00 | |
Anthem BCBS
| Facility | $1,078.17 | $2,753.31 | $5,240.56 | |
Cigna
| Facility | $1,212.51 | $1,212.51 | $1,212.51 | |
Kaiser Permanente
| Professional | $484.98 | $630.47 | $1,088.89 | |
United
| Facility | $424.00 | $2,360.00 | $4,066.00 |