| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $720.00 | $720.00 | $720.00 | |
Anthem BCBS
| Facility | $785.00 | $785.00 | $1,376.00 | |
Cigna
| Facility | $657.00 | $1,500.00 | $3,857.00 | |
Kaiser Permanente
| Facility | $736.06 | $1,183.48 | $1,288.57 | |
United
| Facility | $616.00 | $1,043.00 | $1,739.00 |