| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $555.03 | $4,708.00 | $6,915.00 | |
Anthem BCBS
| Facility | $992.53 | $2,628.21 | $5,240.56 | |
Cigna
| Facility | $2,811.32 | $2,811.32 | $2,811.32 | |
Kaiser Permanente
| Professional | $369.58 | $480.45 | $825.80 | |
United
| Facility | $1,369.00 | $4,594.00 | $7,889.00 |