| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $798.37 | $2,147.66 | $4,459.50 | |
Aetna
| Professional | $513.41 | $798.38 | $798.38 | |
Anthem BCBS
| Professional | $28.50 | $30.00 | $30.00 | |
Cigna
| Professional | $291.51 | $291.51 | $291.51 | |
Kaiser Permanente
| Professional | $416.95 | $429.46 | $429.46 | |
United
| Professional | $440.40 | $440.40 | $440.40 |