| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $1,021.44 | $1,021.44 | $1,021.44 | |
Anthem BCBS
| Facility | $911.79 | $1,064.24 | $1,164.34 | |
Cigna
| Facility | $650.00 | $1,240.00 | $3,359.00 | |
Kaiser Permanente
| Facility | $588.00 | $588.00 | $941.00 | |
United
| Facility | $468.00 | $967.56 | $4,010.00 |