| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,024.22 | $5,063.00 | $7,421.00 | |
Aetna
| Facility | 53 | $404.84 | $404.84 | $639.82 |
Anthem BCBS
| Facility | $985.58 | $2,533.63 | $6,065.87 | |
Kaiser Permanente
| Professional | $2,089.33 | $2,437.55 | $13,537.00 | |
United
| Facility | $1,036.00 | $3,629.00 | $10,000.00 |