| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $632.00 | $3,460.00 | $6,915.00 | |
Anthem BCBS
| Facility | $2,023.79 | $7,475.93 | $17,285.06 | |
Kaiser Permanente
| Professional | $312.88 | $398.22 | $2,618.00 | |
United
| Facility | $1,036.00 | $3,629.00 | $10,000.00 |