| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,412.54 | $5,370.32 | $7,943.28 | |
Anthem BCBS
| Facility | $1,230.27 | $3,090.30 | $6,025.60 | |
Kaiser Permanente
| Professional | $794.33 | $1,148.15 | $4,168.69 | |
Kaiser Permanente
| Professional | AS | $30.20 | $30.20 | $30.20 |
United
| Facility | $1,513.56 | $5,623.41 | $8,511.38 |