| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $851.58 | $5,063.00 | $7,631.00 | |
Anthem BCBS
| Facility | $2,361.69 | $10,174.93 | $34,380.73 | |
Kaiser Permanente
| Professional | $832.30 | $919.06 | $1,225.33 | |
United
| Facility | $1,036.00 | $3,629.00 | $10,000.00 |