| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.23 | $5,370.32 | $9,549.93 | |
Anthem BCBS
| Facility | $794.33 | $1,819.70 | $3,548.13 | |
Kaiser Permanente
| Professional | $281.84 | $323.59 | $426.58 | |
United
| Facility | $1,513.56 | $5,754.40 | $8,511.38 |