| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $992.19 | $5,045.00 | $6,915.00 | |
Anthem BCBS
| Facility | $1,135.89 | $2,987.00 | $6,315.83 | |
Kaiser Permanente
| Professional | $776.93 | $873.95 | $1,153.58 | |
United
| Facility | $1,200.00 | $4,886.00 | $7,889.00 |