| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,202.00 | $5,045.00 | $6,915.00 | |
Anthem BCBS
| Facility | $1,282.27 | $6,936.00 | $27,870.19 | |
Cigna
| Facility | $21,212.90 | $21,212.90 | $21,212.90 | |
Kaiser Permanente
| Professional | $704.96 | $916.45 | $1,901.76 | |
United
| Facility | $2,423.00 | $10,999.00 | $33,931.00 |