| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.51 | $5,370.32 | $9,549.93 | |
Anthem BCBS
| Facility | $7,943.28 | $7,943.28 | $7,943.28 | |
CareSource
| Facility | $19.05 | $21.88 | $23.44 | |
Kaiser Permanente
| Professional | $16.98 | $19.50 | $112.20 | |
United
| Facility | $354.81 | $1,513.56 | $2,511.89 |