| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $255.00 | $405.00 | $690.00 | |
Anthem BCBS
| Facility | $332.00 | $513.00 | $943.00 | |
Cigna
| Facility | $732.00 | $732.00 | $732.00 | |
Kaiser Permanente
| Facility | $463.50 | $547.00 | $550.00 |