| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $670.67 | $4,700.00 | $6,988.20 | |
Anthem BCBS
| Facility | $1,135.89 | $2,987.00 | $6,315.83 | |
Kaiser Permanente
| Professional | $633.05 | $830.65 | $1,083.52 | |
United
| Facility | $1,200.00 | $4,886.00 | $7,889.00 |