| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,041.74 | $5,370.32 | $9,549.93 | |
Anthem BCBS
| Facility | $2,238.72 | $6,309.57 | $12,302.69 | |
Cigna
| Facility | $549.54 | $549.54 | $549.54 | |
Kaiser Permanente
| Professional | $1,548.82 | $2,041.74 | $5,623.41 | |
Kaiser Permanente
| Professional | AS | $70.79 | $70.79 | $70.79 |
United
| Facility | $602.56 | $3,235.94 | $7,943.28 |