| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $911.58 | $5,045.00 | $7,391.00 | |
Anthem BCBS
| Facility | $1,162.53 | $2,827.85 | $5,240.56 | |
Cigna
| Facility | $2,114.90 | $2,114.90 | $2,114.90 | |
Kaiser Permanente
| Professional | $553.85 | $720.01 | $1,672.21 | |
United
| Facility | $1,200.00 | $4,826.00 | $7,889.00 |