| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,630.27 | $5,370.32 | $9,549.93 | |
Anthem BCBS
| Facility | $1,737.80 | $4,265.80 | $8,709.64 | |
Kaiser Permanente
| Professional | $1,584.89 | $1,995.26 | $3,801.89 | |
Kaiser Permanente
| Professional | AS | $50.12 | $50.12 | $50.12 |
United
| Facility | $602.56 | $3,235.94 | $7,943.28 |