| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,458.00 | $4,829.00 | $6,915.00 | |
Anthem BCBS
| Facility | $1,155.80 | $3,116.30 | $6,315.83 | |
Kaiser Permanente
| Professional | $1,090.24 | $1,225.25 | $2,801.47 | |
United
| Facility | $1,519.00 | $6,689.00 | $8,836.00 |