| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,107.34 | $5,063.00 | $14,490.00 | |
Anthem BCBS
| Facility | $2,226.13 | $6,105.48 | $13,137.87 | |
CareSource
| Facility | $1,820.98 | $2,478.38 | $2,722.55 | |
Kaiser Permanente
| Professional | $2,185.17 | $2,549.37 | $5,431.11 | |
United
| Facility | $1,036.00 | $3,629.00 | $10,000.00 |