| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $211.53 | $5,063.00 | $7,421.00 | |
Anthem BCBS
| Facility | $2,226.13 | $6,105.48 | $13,137.87 | |
Kaiser Permanente
| Professional | $217.76 | $254.06 | $1,022.00 | |
United
| Facility | $1,036.00 | $3,629.00 | $10,000.00 |