| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.69 | $4,168.69 | $8,912.51 | |
Anthem BCBS
| Facility | $6,025.60 | $11,481.54 | $23,988.33 | |
Kaiser Permanente
| Professional | $758.58 | $2,238.72 | $2,238.72 | |
United
| Facility | $10,471.29 | $13,803.84 | $23,988.33 |