| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $230.93 | $2,595.00 | $6,915.00 | |
Aetna
| Professional | $175.06 | $231.53 | $473.25 | |
Anthem BCBS
| Facility | $775.91 | $2,322.50 | $5,240.56 | |
Anthem BCBS
| Professional | $183.21 | $292.64 | $517.24 | |
Cigna
| Facility | $1,239.30 | $1,239.30 | $1,239.30 | |
Cigna
| Professional | $200.70 | $328.80 | $543.10 | |
Kaiser Permanente
| Professional | $197.04 | $264.05 | $586.97 | |
United
| Facility | $607.00 | $3,218.00 | $5,272.00 | |
United
| Professional | $224.62 | $299.89 | $537.80 |