| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,513.56 | $5,370.32 | $9,549.93 | |
Anthem BCBS
| Facility | $1,513.56 | $4,365.16 | $10,000.00 | |
Cigna
| Facility | $549.54 | $549.54 | $549.54 | |
Kaiser Permanente
| Professional | $1,096.48 | $1,380.38 | $2,511.89 | |
United
| Facility | $1,513.56 | $5,754.40 | $8,511.38 |