| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $933.25 | $3,548.13 | $7,585.78 | |
Anthem BCBS
| Facility | $4,570.88 | $9,549.93 | $17,378.01 | |
Kaiser Permanente
| Professional | $676.08 | $954.99 | $3,162.28 | |
United
| Facility | $3,548.13 | $8,317.64 | $15,848.93 |