| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $950.00 | $2,486.21 | $3,595.00 | |
Anthem BCBS
| Facility | $420.00 | $1,617.07 | $3,675.00 | |
Cigna
| Facility | $1,100.00 | $2,531.00 | $3,754.00 | |
Kaiser Permanente
| Facility | $100.00 | $14,917.00 | $114,437.00 | |
United
| Facility | $468.00 | $1,170.00 | $3,200.00 |