| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,318.26 | $5,370.32 | $10,715.19 | |
Anthem BCBS
| Facility | $6,025.60 | $11,481.54 | $23,988.33 | |
Kaiser Permanente
| Professional | $1,445.44 | $1,445.44 | $5,754.40 | |
United
| Facility | $8,511.38 | $12,022.64 | $20,417.38 |