| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $800.27 | $3,460.00 | $6,915.00 | |
Anthem BCBS
| Facility | $7,875.00 | $7,875.00 | $7,875.00 | |
CareSource
| Facility | $649.83 | $764.51 | $892.52 | |
Kaiser Permanente
| Professional | $396.17 | $504.21 | $1,980.00 | |
United
| Facility | $353.00 | $1,580.00 | $2,665.00 |