| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,202.00 | $4,592.00 | $6,915.00 | |
Anthem BCBS
| Facility | $996.37 | $2,722.51 | $5,292.58 | |
Kaiser Permanente
| Professional | $272.08 | $287.35 | $383.19 | |
United
| Facility | $772.00 | $2,360.00 | $4,066.00 |