| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,364.00 | $2,487.00 | $4,363.00 | |
Anthem BCBS
| Facility | $446.00 | $1,746.00 | $3,315.77 | |
Cigna
| Facility | $1,012.00 | $2,090.00 | $4,040.00 | |
Kaiser Permanente
| Facility | $100.00 | $2,741.00 | $35,575.00 | |
United
| Facility | $633.00 | $1,431.00 | $3,787.00 |