| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.00 | $335.00 | $538.04 | |
Anthem BCBS
| Facility | $556.00 | $725.00 | $1,247.00 | |
Cigna
| Facility | $381.00 | $381.00 | $381.00 | |
Kaiser Permanente
| Facility | $154.00 | $173.00 | $173.00 |