| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,090.30 | $5,370.32 | $10,715.19 | |
Anthem BCBS
| Facility | $6,025.60 | $11,481.54 | $23,988.33 | |
Kaiser Permanente
| Professional | $1,288.25 | $3,890.45 | $3,890.45 | |
United
| Facility | $10,471.29 | $13,803.84 | $23,988.33 |