| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,202.00 | $3,460.00 | $6,915.00 | |
Anthem BCBS
| Facility | $7,875.00 | $7,875.00 | $7,875.00 | |
Kaiser Permanente
| Professional | $155.33 | $181.22 | $1,421.00 | |
United
| Facility | $353.00 | $1,580.00 | $2,665.00 |