| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,949.84 | $5,495.41 | $12,302.69 | |
Anthem BCBS
| Facility | $15,848.93 | $25,703.96 | $56,234.13 | |
Kaiser Permanente
| Professional | $467.74 | $1,479.11 | $1,479.11 | |
United
| Facility | $10,471.29 | $13,803.84 | $23,988.33 |