| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,167.38 | $5,063.00 | $9,512.00 | |
Anthem BCBS
| Facility | $2,325.76 | $9,558.66 | $54,438.64 | |
Cigna
| Facility | $550.00 | $550.00 | $550.00 | |
Kaiser Permanente
| Professional | $1,156.97 | $1,619.76 | $3,830.09 | |
Kaiser Permanente
| Professional | 22 | $7,131.59 | $7,131.59 | $7,131.59 |
United
| Facility | $2,303.00 | $10,133.00 | $20,037.00 |