| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $469.20 | $4,829.00 | $6,915.00 | |
Anthem BCBS
| Facility | $696.00 | $1,538.99 | $3,667.01 | |
Cigna
| Facility | $778.00 | $778.00 | $778.00 | |
Kaiser Permanente
| Professional | $184.09 | $368.74 | $2,459.44 | |
United
| Facility | $107.00 | $1,550.00 | $2,665.00 |