| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $637.10 | $3,460.00 | $6,915.00 | |
Anthem BCBS
| Facility | $7,875.00 | $7,875.00 | $7,875.00 | |
CareSource
| Facility | $521.60 | $613.64 | $712.97 | |
Kaiser Permanente
| Professional | $316.47 | $402.78 | $2,645.00 | |
United
| Facility | $353.00 | $1,580.00 | $2,665.00 |