| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.11 | $4,570.88 | $13,182.57 | |
Anthem BCBS
| Facility | $16,982.44 | $31,622.78 | $74,131.02 | |
Kaiser Permanente
| Professional | $446.68 | $1,288.25 | $1,288.25 | |
United
| Facility | $15,488.17 | $39,810.72 | $64,565.42 |