| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,591.00 | $5,958.00 | $10,471.00 | |
Anthem BCBS
| Facility | $420.00 | $2,514.33 | $4,816.00 | |
Cigna
| Facility | $1,275.00 | $2,652.00 | $4,530.00 | |
Kaiser Permanente
| Facility | $100.00 | $4,320.00 | $35,575.00 | |
United
| Facility | $547.00 | $1,750.00 | $3,866.00 |