| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $726.51 | $5,063.00 | $7,421.00 | |
Anthem BCBS
| Facility | $1,538.99 | $5,842.74 | $14,965.63 | |
Cigna
| Facility | $550.00 | $550.00 | $550.00 | |
Kaiser Permanente
| Professional | $454.05 | $590.27 | $1,412.06 | |
United
| Facility | $1,519.00 | $6,351.00 | $8,836.00 |