| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.99 | $165.08 | $1,169.83 | |
Anthem BCBS
| Facility | $4,076.79 | $8,754.19 | $13,814.04 | |
Cigna
| Facility | $6,189.00 | $6,851.00 | $6,851.00 | |
Kaiser Permanente
| Professional | $112.12 | $130.80 | $565.00 | |
United
| Facility | $353.00 | $1,580.00 | $8,782.00 |