| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.58 | $5,495.41 | $11,748.98 | |
Anthem BCBS
| Facility | $11,481.54 | $18,197.01 | $33,113.11 | |
Kaiser Permanente
| Professional | $407.38 | $407.38 | $2,187.76 | |
United
| Facility | $2,630.27 | $5,754.40 | $12,302.69 |