| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $625.00 | $1,852.00 | $4,823.00 | |
Anthem BCBS
| Facility | $358.00 | $815.87 | $2,523.98 | |
Cigna
| Facility | $697.00 | $1,091.00 | $1,586.00 | |
Kaiser Permanente
| Facility | $100.00 | $957.00 | $114,437.00 | |
United
| Facility | $468.00 | $1,159.00 | $3,200.00 |