| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $733.82 | $4,733.00 | $6,915.00 | |
Anthem BCBS
| Facility | $2,226.13 | $6,105.48 | $13,137.87 | |
Kaiser Permanente
| Professional | $755.83 | $881.80 | $2,013.26 | |
United
| Facility | $1,036.00 | $3,629.00 | $10,000.00 |