| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.96 | $3,715.35 | $7,413.10 | |
Anthem BCBS
| Facility | $794.33 | $2,884.03 | $6,918.31 | |
Cigna
| Facility | $3,162.28 | $3,162.28 | $3,162.28 | |
Kaiser Permanente
| Professional | $288.40 | $371.54 | $724.44 | |
United
| Facility | $1,122.02 | $4,168.69 | $6,918.31 |