| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $589.89 | $5,045.00 | $6,915.00 | |
Anthem BCBS
| Facility | $2,226.13 | $6,105.48 | $13,137.87 | |
Kaiser Permanente
| Professional | $607.75 | $709.04 | $1,517.26 | |
United
| Facility | $1,036.00 | $3,629.00 | $10,000.00 |