| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.65 | $5,063.00 | $7,631.00 | |
Anthem BCBS
| Facility | $2,361.69 | $11,270.46 | $68,049.19 | |
Kaiser Permanente
| Professional | $150.79 | $175.92 | $1,401.00 | |
United
| Facility | $1,036.00 | $3,629.00 | $10,000.00 |