| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,791.00 | $6,014.00 | $9,474.00 | |
Anthem BCBS
| Facility | $2,361.69 | $10,174.93 | $34,380.73 | |
Kaiser Permanente
| Professional | $1,619.83 | $2,061.60 | $10,841.00 | |
United
| Facility | $1,036.00 | $3,629.00 | $10,000.00 |