| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,633.00 | $2,033.00 | $4,823.00 | |
Anthem BCBS
| Facility | $730.00 | $1,625.00 | $2,830.00 | |
Cigna
| Facility | $663.00 | $1,261.75 | $4,045.60 | |
Kaiser Permanente
| Facility | $100.00 | $20,022.00 | $120,000.00 | |
United
| Facility | $1,136.00 | $1,571.00 | $2,190.00 |