| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,896.00 | $5,367.00 | $9,512.00 | |
Anthem BCBS
| Facility | $1,732.27 | $6,472.76 | $14,965.63 | |
Cigna
| Facility | $550.00 | $550.00 | $550.00 | |
Kaiser Permanente
| Professional | $1,794.76 | $2,333.19 | $4,291.54 | |
United
| Facility | $607.00 | $3,629.00 | $10,000.00 |