| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $769.01 | $4,329.00 | $6,915.00 | |
Anthem BCBS
| Facility | $1,135.89 | $2,987.00 | $6,315.83 | |
Kaiser Permanente
| Professional | $806.07 | $968.90 | $1,231.16 | |
United
| Facility | $1,036.00 | $3,250.00 | $5,272.00 |