| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,223.33 | $4,195.00 | $6,915.00 | |
Anthem BCBS
| Facility | $989.09 | $2,795.56 | $6,315.83 | |
Kaiser Permanente
| Professional | $1,108.03 | $1,225.50 | $1,410.22 | |
United
| Facility | $1,519.00 | $6,689.00 | $8,836.00 |