| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $803.50 | $5,063.00 | $25,903.00 | |
Anthem BCBS
| Facility | $8,137.89 | $15,671.74 | $22,488.92 | |
Cigna
| Facility | $5,882.00 | $10,655.00 | $16,211.00 | |
Kaiser Permanente
| Professional | $354.52 | $413.60 | $1,643.00 | |
United
| Facility | $353.00 | $2,506.00 | $24,187.00 |