| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $776.25 | $3,311.31 | $8,317.64 | |
Aetna
| Facility | 50 | $724.44 | $2,570.40 | $7,413.10 |
Anthem BCBS
| Facility | $12,589.25 | $17,782.79 | $35,481.34 | |
Kaiser Permanente
| Professional | $1,000.00 | $1,000.00 | $7,943.28 | |
United
| Facility | $9,332.54 | $12,882.50 | $23,442.29 |