| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $641.00 | $897.00 | $897.00 | |
Anthem BCBS
| Facility | $4,617.00 | $4,617.00 | $4,617.00 | |
Cigna
| Facility | $130.00 | $1,197.00 | $15,795.00 | |
Kaiser Permanente
| Facility | $100.00 | $20,022.00 | $120,000.00 | |
United
| Facility | $850.00 | $1,738.00 | $2,432.00 |