| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $178.66 | $3,391.00 | $6,915.00 | |
Anthem BCBS
| Facility | $734.14 | $2,080.80 | $3,851.83 | |
Cigna
| Facility | $603.73 | $603.73 | $603.73 | |
Kaiser Permanente
| Professional | $106.32 | $148.85 | $273.33 | |
United
| Facility | $424.00 | $2,360.00 | $4,066.00 |