| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $174.31 | $4,338.00 | $6,915.00 | |
Anthem BCBS
| Facility | $964.00 | $2,354.21 | $5,240.56 | |
Cigna
| Facility | $2,114.90 | $2,114.90 | $2,114.90 | |
Kaiser Permanente
| Professional | $104.23 | $135.50 | $214.91 | |
United
| Facility | $1,200.00 | $4,826.00 | $7,889.00 |