| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.00 | $376.00 | $452.00 | |
Anthem BCBS
| Facility | $201.00 | $290.00 | $563.00 | |
Cigna
| Facility | $203.00 | $289.00 | $640.00 | |
Kaiser Permanente
| Facility | $267.00 | $418.00 | $490.00 |