| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $512.86 | $5,011.87 | $10,000.00 | |
Anthem BCBS
| Facility | $2,454.71 | $3,467.37 | $8,511.38 | |
Kaiser Permanente
| Professional | $151.36 | $346.74 | $1,288.25 | |
United
| Facility | $676.08 | $1,479.11 | $2,691.53 |