| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $728.48 | $3,391.00 | $6,915.00 | |
Anthem BCBS
| Facility | $776.14 | $2,795.56 | $6,315.83 | |
Cigna
| Facility | $2,090.96 | $2,090.96 | $2,090.96 | |
Kaiser Permanente
| Professional | $457.59 | $594.87 | $1,116.95 | |
United
| Facility | $1,200.00 | $4,826.00 | $7,889.00 |