| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,445.44 | $4,365.16 | $7,413.10 | |
Aetna
| Professional | $93.33 | $218.78 | $380.19 | |
Anthem BCBS
| Facility | $758.58 | $2,089.30 | $3,548.13 | |
Anthem BCBS
| Professional | $112.20 | $162.18 | $239.88 | |
Cigna
| Facility | $181.97 | $660.69 | $851.14 | |
Cigna
| Professional | $120.23 | $251.19 | $537.03 | |
Kaiser Permanente
| Professional | $109.65 | $323.59 | $1,995.26 | |
United
| Facility | $426.58 | $2,187.76 | $3,467.37 | |
United
| Professional | $100.00 | $218.78 | $478.63 |