| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,074.16 | $6,915.00 | $10,417.00 | |
Anthem BCBS
| Facility | $2,023.79 | $7,475.93 | $17,285.06 | |
CareSource
| Facility | $3,188.10 | $3,750.71 | $4,359.68 | |
Kaiser Permanente
| Professional | $1,935.16 | $2,462.94 | $13,302.00 | |
United
| Facility | $1,036.00 | $3,629.00 | $10,000.00 |