| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $214.04 | $3,391.00 | $6,915.00 | |
Anthem BCBS
| Facility | $759.49 | $2,152.57 | $4,143.39 | |
Cigna
| Facility | $201.46 | $201.46 | $201.46 | |
Kaiser Permanente
| Professional | $137.94 | $298.87 | $1,570.00 | |
United
| Facility | $772.00 | $2,360.00 | $4,066.00 |