| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $958.74 | $5,045.00 | $7,631.00 | |
Anthem BCBS
| Facility | $1,538.99 | $5,842.74 | $14,965.63 | |
Cigna
| Facility | $550.00 | $550.00 | $550.00 | |
Kaiser Permanente
| Professional | $1,173.07 | $1,524.99 | $3,404.02 | |
United
| Facility | $2,303.00 | $10,133.00 | $20,037.00 |