| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $360.88 | $1,490.25 | $4,197.56 | |
Anthem BCBS
| Professional | $469.92 | $1,318.09 | $4,473.18 | |
Cigna
| Professional | $538.79 | $1,686.84 | $4,406.28 | |
Kaiser Permanente
| Professional | $404.69 | $1,449.90 | $8,693.42 | |
United
| Professional | $1,600.21 | $2,869.48 | $4,948.14 |