| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,950.50 | $5,063.00 | $6,915.00 | |
Anthem BCBS
| Facility | $1,206.01 | $4,431.64 | $11,609.07 | |
Kaiser Permanente
| Professional | $2,433.64 | $2,754.97 | $6,915.49 | |
Kaiser Permanente
| Professional | 62 | $3,290.49 | $3,290.49 | $3,290.49 |
United
| Facility | $1,200.00 | $4,886.00 | $7,889.00 |