| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.41 | $131.40 | $284.87 | |
Anthem BCBS
| Facility | $3,605.70 | $7,078.50 | $13,814.04 | |
Cigna
| Facility | $6,189.00 | $6,851.00 | $6,851.00 | |
Kaiser Permanente
| Professional | $29.88 | $34.86 | $768.00 | |
United
| Facility | $353.00 | $1,580.00 | $8,782.00 |