| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $4,570.88 | $7,413.10 | |
Anthem BCBS
| Facility | $1,258.93 | $4,265.80 | $12,022.64 | |
Cigna
| Facility | $6,025.60 | $6,025.60 | $6,025.60 | |
Kaiser Permanente
| Professional | $870.96 | $1,122.02 | $2,344.23 | |
United
| Facility | $1,737.80 | $6,918.31 | $12,022.64 |