| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $258.00 | $376.00 | $452.00 | |
Anthem BCBS
| Facility | $187.00 | $250.00 | $551.00 | |
Cigna
| Facility | $203.00 | $270.00 | $327.00 | |
Kaiser Permanente
| Facility | $278.10 | $432.00 | $485.00 |