| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,090.30 | $5,370.32 | $10,715.19 | |
Anthem BCBS
| Facility | $11,481.54 | $18,197.01 | $33,113.11 | |
Kaiser Permanente
| Professional | $2,630.27 | $5,754.40 | $5,754.40 | |
United
| Facility | $2,630.27 | $6,760.83 | $12,882.50 |