| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.83 | $4,365.16 | $7,413.10 | |
Anthem BCBS
| Facility | $1,000.00 | $2,238.72 | $4,786.30 | |
Cigna
| Facility | $2,089.30 | $2,089.30 | $2,089.30 | |
Kaiser Permanente
| Professional | $57.54 | $74.13 | $169.82 | |
United
| Facility | $562.34 | $3,090.30 | $5,370.32 |