| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.12 | $5,370.32 | $9,549.93 | |
Anthem BCBS
| Facility | $1,000.00 | $2,884.03 | $5,495.41 | |
Cigna
| Facility | $295.12 | $295.12 | $2,511.89 | |
Cigna
| Facility | AS | $29.51 | $29.51 | $29.51 |
Kaiser Permanente
| Professional | $181.97 | $263.03 | $1,071.52 | |
Kaiser Permanente
| Professional | AS | $7.94 | $7.94 | $7.94 |
United
| Facility | $630.96 | $3,235.94 | $7,943.28 |