| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $733.75 | $5,063.00 | $7,421.00 | |
Anthem BCBS
| Facility | $992.53 | $2,628.21 | $5,240.56 | |
Cigna
| Facility | $2,090.96 | $2,090.96 | $2,090.96 | |
Kaiser Permanente
| Professional | $413.44 | $537.47 | $1,191.95 | |
United
| Facility | $1,200.00 | $4,826.00 | $7,889.00 |