| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,651.33 | $5,045.00 | $6,915.00 | |
Anthem BCBS
| Facility | $992.53 | $2,628.21 | $5,240.56 | |
Kaiser Permanente
| Professional | $1,267.66 | $1,425.48 | $2,691.59 | |
United
| Facility | $1,036.00 | $3,250.00 | $5,272.00 |