| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.12 | $3,311.31 | $9,120.11 | |
Anthem BCBS
| Facility | $4,570.88 | $9,549.93 | $17,378.01 | |
Kaiser Permanente
| Professional | $257.04 | $575.44 | $954.99 | |
United
| Facility | $2,630.27 | $5,754.40 | $12,302.69 |