| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,575.00 | $4,368.00 | $6,915.00 | |
Anthem BCBS
| Facility | $1,082.33 | $5,799.60 | $13,137.87 | |
Cigna
| Facility | $6,037.66 | $6,037.66 | $6,037.66 | |
Kaiser Permanente
| Professional | $917.88 | $1,193.24 | $2,318.27 | |
United
| Facility | $1,738.00 | $7,794.00 | $14,048.00 |