| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,713.00 | $2,149.00 | $4,328.00 | |
Anthem BCBS
| Facility | $442.00 | $490.00 | $617.00 | |
Cigna
| Facility | $4,100.00 | $4,100.00 | $4,100.00 | |
Kaiser Permanente
| Facility | $159.38 | $159.38 | $159.38 |