| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $545.00 | $623.00 | $2,486.21 | |
Anthem BCBS
| Facility | $420.00 | $1,617.07 | $3,675.00 | |
Cigna
| Facility | $653.00 | $1,300.00 | $3,754.00 | |
Kaiser Permanente
| Facility | $100.00 | $14,917.00 | $114,437.00 | |
United
| Facility | $468.00 | $1,200.00 | $4,010.00 |