| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.42 | $55.42 | $8,382.00 | |
Aetna
| Professional | $54.74 | $61.63 | $99.93 | |
Anthem BCBS
| Facility | $3,605.70 | $7,078.50 | $13,814.04 | |
Anthem BCBS
| Professional | $58.34 | $95.02 | $176.54 | |
Cigna
| Facility | $6,189.00 | $6,851.00 | $6,851.00 | |
Cigna
| Professional | $70.64 | $103.16 | $176.05 | |
Kaiser Permanente
| Professional | $63.98 | $74.65 | $593.00 | |
United
| Facility | $353.00 | $1,580.00 | $8,782.00 | |
United
| Professional | $62.02 | $87.77 | $141.12 |