| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $791.77 | $5,045.00 | $6,915.00 | |
Anthem BCBS
| Facility | $1,298.47 | $4,632.74 | $11,033.11 | |
Kaiser Permanente
| Professional | $827.16 | $965.02 | $1,747.89 | |
United
| Facility | $1,036.00 | $3,629.00 | $10,000.00 |