| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $5,495.41 | $29,512.09 | |
Anthem BCBS
| Facility | $25,703.96 | $35,481.34 | $60,255.96 | |
Kaiser Permanente
| Professional | $549.54 | $1,659.59 | $1,659.59 | |
United
| Facility | $21,877.62 | $39,810.72 | $64,565.42 |