| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,510.00 | $9,697.56 | $11,377.00 | |
Anthem BCBS
| Facility | $5,001.00 | $9,825.00 | $16,018.00 | |
Cigna
| Facility | $3,575.00 | $7,907.00 | $14,091.00 | |
Kaiser Permanente
| Facility | $170.00 | $811.00 | $4,740.56 | |
United
| Facility | $662.00 | $662.00 | $662.00 |