| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.22 | $5,063.00 | $6,915.00 | |
Anthem BCBS
| Facility | $2,439.08 | $7,591.82 | $21,232.89 | |
Kaiser Permanente
| Professional | $555.85 | $648.49 | $2,575.00 | |
United
| Facility | $2,650.00 | $12,757.00 | $38,174.00 |