| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,341.00 | $4,779.00 | $10,126.00 | |
Anthem BCBS
| Facility | $353.00 | $1,139.24 | $3,750.45 | |
Cigna
| Facility | $1,204.00 | $3,244.00 | $4,774.00 | |
Kaiser Permanente
| Facility | $100.00 | $2,103.00 | $114,437.00 | |
United
| Facility | $468.00 | $1,425.00 | $3,200.00 |