| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $306.48 | $25,857.00 | $66,450.00 | |
Anthem BCBS
| Facility | $791.00 | $10,122.12 | $49,121.57 | |
Cigna
| Facility | $9,936.00 | $14,442.00 | $23,903.00 | |
Kaiser Permanente
| Professional | $302.89 | $424.05 | $5,654.00 | |
United
| Facility | $607.00 | $3,218.00 | $5,272.00 |