| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,591.00 | $5,515.00 | $8,192.00 | |
Anthem BCBS
| Facility | $446.00 | $2,143.46 | $4,385.97 | |
Cigna
| Facility | $1,100.00 | $2,340.00 | $4,454.00 | |
Kaiser Permanente
| Facility | $100.00 | $3,830.00 | $35,575.00 | |
United
| Facility | $502.00 | $1,508.00 | $4,290.00 |