| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $335.42 | $425.00 | $834.00 | |
Anthem BCBS
| Facility | $371.00 | $514.00 | $1,046.00 | |
Cigna
| Facility | $1,343.00 | $1,343.00 | $1,343.00 | |
Kaiser Permanente
| Facility | $463.50 | $700.00 | $1,133.00 |