| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,684.02 | $4,829.00 | $6,915.00 | |
Anthem BCBS
| Facility | $1,155.80 | $3,116.30 | $6,315.83 | |
Kaiser Permanente
| Professional | $1,265.58 | $1,422.37 | $2,774.64 | |
United
| Facility | $1,519.00 | $6,689.00 | $8,836.00 |