| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,152.06 | $4,708.00 | $9,488.00 | |
Anthem BCBS
| Facility | $1,538.99 | $5,842.74 | $15,411.81 | |
Cigna
| Facility | $550.00 | $550.00 | $550.00 | |
Kaiser Permanente
| Professional | $1,102.27 | $1,432.95 | $3,229.82 | |
United
| Facility | $1,738.00 | $7,794.00 | $14,048.00 |