| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.12 | $3,388.44 | $8,912.51 | |
Anthem BCBS
| Facility | $4,570.88 | $9,549.93 | $17,378.01 | |
Kaiser Permanente
| Professional | $194.98 | $194.98 | $812.83 | |
United
| Facility | $2,630.27 | $5,754.40 | $12,302.69 |