| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,089.30 | $5,495.41 | $10,715.19 | |
Anthem BCBS
| Facility | $7,762.47 | $15,135.61 | $28,183.83 | |
Kaiser Permanente
| Professional | $537.03 | $6,760.83 | $11,220.18 | |
United
| Facility | $10,471.29 | $13,803.84 | $23,988.33 |