| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,202.00 | $3,391.00 | $6,915.00 | |
Anthem BCBS
| Facility | $787.78 | $3,640.00 | $8,545.91 | |
Cigna
| Facility | $4,075.12 | $4,075.12 | $4,075.12 | |
Kaiser Permanente
| Professional | $772.89 | $1,004.76 | $1,614.92 | |
United
| Facility | $1,519.00 | $6,351.00 | $8,836.00 |