| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,089.30 | $5,495.41 | $12,302.69 | |
Anthem BCBS
| Facility | $4,570.88 | $10,000.00 | $17,782.79 | |
Kaiser Permanente
| Professional | $602.56 | $912.01 | $2,691.53 | |
United
| Facility | $2,630.27 | $5,754.40 | $12,302.69 |