| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,929.00 | $14,504.00 | $14,504.00 | |
Anthem BCBS
| Facility | $2,518.00 | $5,050.00 | $18,399.00 | |
Cigna
| Facility | $1,425.00 | $4,276.00 | $9,011.00 | |
Kaiser Permanente
| Facility | $100.00 | $20,022.00 | $120,000.00 | |
United
| Facility | $1,136.00 | $4,094.00 | $7,625.00 |