| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $533.57 | $4,368.00 | $6,915.00 | |
Anthem BCBS
| Facility | $989.09 | $2,795.56 | $6,315.83 | |
Cigna
| Facility | $2,090.96 | $2,090.96 | $2,090.96 | |
Kaiser Permanente
| Professional | $320.30 | $416.39 | $1,275.78 | |
United
| Facility | $1,369.00 | $4,594.00 | $7,647.00 |