| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $268.27 | $727.38 | $1,351.94 | |
Anthem BCBS
| Facility | $408.80 | $617.85 | $1,021.02 | |
Cigna
| Facility | $268.00 | $474.57 | $664.40 | |
Kaiser Permanente
| Professional | $348.02 | $554.79 | $2,631.61 |