| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $996.15 | $4,733.00 | $6,915.00 | |
Anthem BCBS
| Facility | $1,538.99 | $5,842.74 | $14,965.63 | |
Cigna
| Facility | $550.00 | $550.00 | $550.00 | |
Kaiser Permanente
| Professional | $1,141.95 | $1,484.54 | $3,074.92 | |
United
| Facility | $3,800.00 | $9,710.00 | $18,000.00 |