| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.23 | $812.83 | $1,905.46 | |
Aetna
| Professional | $281.84 | $389.05 | $489.78 | |
Anthem BCBS
| Facility | $524.81 | $1,202.26 | $1,995.26 | |
Anthem BCBS
| Professional | $338.84 | $416.87 | $416.87 | |
Cigna
| Facility | $245.47 | $269.15 | $1,096.48 | |
Cigna
| Professional | $213.80 | $309.03 | $776.25 | |
Kaiser Permanente
| Professional | $512.86 | $512.86 | $588.84 | |
Select Health
| Professional | $588.84 | $588.84 | $645.65 | |
United
| Professional | $173.78 | $239.88 | $251.19 |