| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $5,370.32 | $7,413.10 | |
Anthem BCBS
| Facility | $1,174.90 | $3,311.31 | $6,760.83 | |
Kaiser Permanente
| Professional | $2,238.72 | $2,511.89 | $5,495.41 | |
Kaiser Permanente
| Professional | 62 | $3,311.31 | $3,311.31 | $3,311.31 |
Kaiser Permanente
| Professional | 80 | $281.84 | $281.84 | $281.84 |
United
| Facility | $1,202.26 | $4,168.69 | $6,918.31 |