| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $553.00 | $553.00 | $1,194.00 | |
Ambetter
| Facility | $239.77 | $403.25 | $1,314.68 | |
Anthem BCBS
| Facility | $372.72 | $554.38 | $725.53 | |
Cigna
| Facility | $382.00 | $567.00 | $722.00 | |
Kaiser Permanente
| Facility | $500.00 | $764.00 | $885.00 |