| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26,092.00 | $43,211.00 | $101,575.00 | |
Anthem BCBS
| Facility | $18,326.00 | $18,326.00 | $32,200.00 | |
Cigna
| Facility | $36,293.00 | $227,873.00 | $444,485.00 | |
Kaiser Permanente
| Facility | $118.50 | $205.00 | $315.00 | |
Providence
| Facility | $36,407.00 | $250,423.00 | $444,485.00 |