| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $258.45 | $4,368.00 | $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 | $172.54 | $224.30 | $291.58 | |
United
| Facility | $1,200.00 | $4,826.00 | $7,889.00 |