| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $324.00 | $424.00 | $499.00 | |
Anthem BCBS
| Facility | $464.00 | $527.00 | $653.00 | |
Cigna
| Facility | $355.00 | $400.00 | $534.00 | |
Kaiser Permanente
| Facility | $400.00 | $450.00 | $545.00 |