| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $161.26 | $2,987.00 | $6,915.00 | |
Anthem BCBS
| Facility | $775.91 | $2,322.50 | $5,240.56 | |
Cigna
| Facility | $1,212.51 | $1,212.51 | $1,212.51 | |
Kaiser Permanente
| Professional | $157.18 | $195.27 | $379.93 | |
United
| Facility | $1,200.00 | $4,826.00 | $7,889.00 |