| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $409.12 | $5,063.00 | $7,631.00 | |
Anthem BCBS
| Facility | $2,361.69 | $10,111.23 | $25,089.94 | |
Kaiser Permanente
| Professional | $399.64 | $433.99 | $577.64 | |
United
| Facility | $1,036.00 | $3,629.00 | $10,000.00 |