| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,570.88 | $5,623.41 | $9,549.93 | |
Anthem BCBS
| Facility | $2,344.23 | $6,918.31 | $15,135.61 | |
Kaiser Permanente
| Professional | $4,677.35 | $5,623.41 | $6,918.31 | |
United
| Facility | $602.56 | $3,235.94 | $7,943.28 |