| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,584.89 | $5,128.61 | $10,000.00 | |
Anthem BCBS
| Facility | $4,570.88 | $9,549.93 | $17,378.01 | |
Kaiser Permanente
| Professional | $251.19 | $251.19 | $870.96 | |
United
| Facility | $3,548.13 | $8,128.31 | $16,595.87 |