| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $808.13 | $5,045.00 | $6,915.00 | |
Anthem BCBS
| Facility | $1,732.27 | $6,472.76 | $14,965.63 | |
Cigna
| Facility | $550.00 | $550.00 | $550.00 | |
Kaiser Permanente
| Professional | $976.66 | $1,269.66 | $2,645.26 | |
United
| Facility | $1,519.00 | $6,351.00 | $8,836.00 |