| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $823.85 | $5,045.00 | $6,915.00 | |
Anthem BCBS
| Facility | $2,226.13 | $6,105.48 | $13,137.87 | |
Kaiser Permanente
| Professional | $848.83 | $990.30 | $2,509.66 | |
United
| Facility | $1,269.00 | $3,587.00 | $8,133.00 |