| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,202.26 | $7,079.46 | $13,489.63 | |
Anthem BCBS
| Facility | $2,238.72 | $5,888.44 | $12,022.64 | |
Kaiser Permanente
| Professional | $741.31 | $831.76 | $4,168.69 | |
United
| Facility | $1,737.80 | $6,165.95 | $12,022.64 |