| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $214.00 | $263.00 | $268.00 | |
Anthem BCBS
| Facility | $252.00 | $351.00 | $760.00 | |
Cigna
| Facility | $108.00 | $215.00 | $350.00 | |
Kaiser Permanente
| Facility | $614.00 | $614.00 | $960.00 |