| 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 | $382.00 | $2,209.00 | $4,434.03 | |
Cigna
| Facility | $1,250.00 | $3,714.00 | $5,398.00 | |
Kaiser Permanente
| Facility | $100.00 | $3,107.00 | $114,437.00 | |
United
| Facility | $519.00 | $1,478.00 | $5,311.00 |