| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $160.00 | $160.00 | $160.00 | |
Anthem BCBS
| Facility | $185.00 | $185.00 | $325.00 | |
Cigna
| Facility | $158.13 | $577.00 | $928.00 | |
Kaiser Permanente
| Facility | $325.72 | $529.76 | $576.01 | |
United
| Facility | $143.00 | $462.00 | $1,739.00 |