| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,217.52 | $1,407.76 | $1,884.91 | |
Anthem BCBS
| Facility | $2,226.13 | $6,105.48 | $13,137.87 | |
CareSource
| Facility | $1,396.16 | $1,642.53 | $1,910.21 | |
Kaiser Permanente
| Professional | $924.98 | $1,079.15 | $4,155.17 |