| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $315.77 | $3,295.00 | $6,915.00 | |
Anthem BCBS
| Facility | $964.00 | $2,354.21 | $5,240.56 | |
Cigna
| Facility | $1,212.51 | $1,212.51 | $1,212.51 | |
Kaiser Permanente
| Professional | $203.44 | $425.17 | $776.39 | |
United
| Facility | $607.00 | $3,218.00 | $5,272.00 |